Youssef's syndrome.

A case of menouria (Youssef's syndrome) following a vesicovaginal fistula repair is presented. The patient had typical clinical features of cyclic hematuria, absence of vaginal bleeding and complete urinary continence. Diagnosis was established by cystoscopy, cystography and hysterosalpingography which disclosed the communication between the bladder and the uterine cavity. Surgical treatment was hysterectomy with the closure of the bladder opening. The authors quote similar cases reported in the literature and attention is also called to the fact that the first case of menouria was reported in the literature by Machado in 1935.