Vesicouterine fistula – a rare delayed complication of cesarean section

A vesicouterine fistula is an abnormal pathway between the urinary bladder and the uterus. it is a rare urogynaecological fistula. in vesicouterine fistula, clinical presentations are cyclic haematuria (menouria), amenorrhoea, urinary continence which mimics youssef’s syndrome. this case presents, a 37 year old multiparous woman with vesicouterine fistula which she developed 8 years after cesarean section. diagnosis was confirmed by cystoscopy and fistula was repaired through trans abdominal surgery. she regained normal vaginal menses 4 months after surgery.