Diagnosis and treatment of enterovesical fistula

Eur Urol. 1996;29(3):318-21. doi: 10.1159/000473768.

Abstract

The records of 24 patients with enterovesical fistula treated at the urology sections of Telemark and Vestfold Central Hospitals are presented. Most fistulas were due to diverticulitis or a malignant tumor. The part of the intestine most frequently affected was the sigmoid colon in 14 patients, the rectum in 3, the cecum in 2 and the small intestine in 2. Of the 21 patients operated on, 12 underwent a one-stage procedure with resection of the fistula and primary anastomosis of the intestine. The postoperative course was uneventful for 16 patients. Recurrence of the fistula occurred in 1 patient. Three patients were conservatively treated. We recommend a one-stage operation for patients in a good general operating condition, with a well-organized fistula and no systemic infection.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Barium Sulfate
  • Colon / pathology
  • Colonoscopy
  • Cystoscopy
  • Diverticulitis / complications
  • Enema
  • Female
  • Humans
  • Intestinal Fistula / diagnosis*
  • Intestinal Fistula / etiology
  • Intestinal Fistula / surgery*
  • Intestine, Small / pathology
  • Laparoscopy
  • Male
  • Middle Aged
  • Norway
  • Postoperative Complications / therapy
  • Rectum / pathology
  • Retrospective Studies
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Urinary Bladder Fistula / diagnosis*
  • Urinary Bladder Fistula / etiology
  • Urinary Bladder Fistula / surgery*
  • Urinary Bladder Neoplasms / complications
  • Urography

Substances

  • Barium Sulfate