[Clinical study of enterovesical fistulas]

Area of Science:

• Urology
• Gastroenterology
• Surgical Oncology

Context:

• Enterovesical fistula is a rare condition often presenting with urinary and fecal symptoms.
• Diagnosis and management require a multidisciplinary approach.
• This review covers a 13-year period of patient data.

Purpose:

• To review the clinical characteristics, diagnostic methods, and treatment outcomes of patients with enterovesical fistula.
• To identify the primary etiologies and common presenting symptoms.
• To evaluate the effectiveness of surgical interventions.

Summary:

• A retrospective review of 16 patients with enterovesical fistula (median age 74, 4 female) was conducted.
• Common symptoms included pneumaturia and fecaluria. The most frequent fistula type was vesicosigmoidal (12 patients).
• Diverticulitis (9 patients) and sigmoid colon carcinoma (3 patients) were the main causes. Diagnosis involved cystoscopy, barium enema, and CT. Treatment ranged from open surgery to laparoscopic sigmoidectomy.

Impact:

• Highlights the importance of diagnostic imaging in enterovesical fistula.
• Demonstrates the evolving surgical approaches, including minimally invasive techniques.
• Provides insights into managing a complex condition with diverse etiologies.