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Colovesical fistulas.

P F Schofield1

  • 1University Hospital of South Manchester.

British Journal of Hospital Medicine
|June 1, 1988
PubMed
Summary
This summary is machine-generated.

Colovesical fistula, often caused by diverticular disease, commonly presents as recurrent urinary tract infections. Cystoscopy is the best diagnostic tool, and surgical resection with anastomosis is effective for most patients.

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Area of Science:

  • Gastroenterology
  • Urology

Background:

  • Colovesical fistula is a rare but serious condition.
  • It often presents with recurrent urinary tract infections (UTIs), particularly in men.
  • The most frequent etiology is colonic diverticular disease.

Purpose of the Study:

  • To review the causes, diagnosis, and management of colovesical fistula.
  • To highlight the diagnostic utility of cystoscopy.
  • To discuss surgical options for diverticular disease-related fistulas.

Main Methods:

  • Review of existing literature on colovesical fistula.
  • Analysis of diagnostic methods including barium enema and cystoscopy.
  • Evaluation of surgical treatment outcomes, specifically one-stage resection and anastomosis.

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Main Results:

  • Diverticular disease is the most common cause of colovesical fistula.
  • Recurrent UTIs are a hallmark symptom.
  • Cystoscopy demonstrates superior diagnostic accuracy compared to barium enema.
  • One-stage resection and anastomosis is a successful treatment for diverticular disease-induced fistulas.

Conclusions:

  • Colovesical fistula requires prompt diagnosis and management.
  • Cystoscopy is the gold standard for fistula confirmation.
  • Surgical intervention, particularly one-stage resection and anastomosis, offers effective treatment for patients with diverticular disease.