Youssef's syndrome--report of 7 cases and review of literature.

Seven patients in their thirties presented with cyclical haematuria, apparent amenorrhoea and urinary continence following lower segment caesarean section. Investigations confirmed the diagnosis of Youssef's syndrome. Four patients who had 2 children each opted for hysterectomy. The remaining 3 patients had excision of the fistula with repair of uterus and bladder. In this group, at 6 years follow-up, in spite of conceiving, 2 patients aborted with no further pregnancy reported.