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“Menouria” following lower segment cesarean section

A syndrome
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      Abstract

      • 1.
        1. A peculiar syndrome which may follow lower segment cesarean section is characterized by the presence of a vesicouterine fistula above the level of the internal os, the occurrence of vesical menstruation, the absence of vaginal menstrual periods, and the absence of urinary incontinence although the cervical canal is patent.
      • 2.
        2. The name “menouria” has been coined to describe the vesical menstruation which is always the chief presenting symptom.
      • 3.
        3. The few cases showing these typical features that have so far been reported in the literature are reviewed and a case of my own is described in detail.
      • 4.
        4. Thorough investigation of my case has revealed that all the interesting features of this syndrome can be explained by the presence of a functional sphincter at the uterine isthmus.
      • 5.
        5. The causes of the great racity of the syndrome are discussed.
      • 6.
        6. A plea is made that every case of this nature should be thoroughly investigated and reported.
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