[Vesico-intestinal fistulas]

Area of Science:

• Urology
• Gastroenterology

Background:

• Vesico-intestinal fistulas are abnormal connections between the bladder and the gastrointestinal tract.
• These fistulas can arise from various causes, including inflammatory bowel disease, malignancy, and surgical complications.

Purpose of the Study:

• To provide a comprehensive review of vesico-intestinal fistulas.
• To discuss the frequency, etiology, and pathophysiology of these fistulas.
• To outline diagnostic approaches and surgical treatment principles.

Main Methods:

• Literature review of vesico-intestinal fistulas.
• Analysis of frequency, etiology, and anatomopathology.
• Evaluation of symptomatology and diagnostic methods, including adjuvant investigations.
• Discussion of surgical treatment principles.

Main Results:

• The review covers the epidemiology and underlying causes of vesico-intestinal fistulas.
• Detailed information on the pathological and physiological aspects is presented.
• Diagnostic challenges and the role of various investigations are highlighted.
• Key principles for surgical management are outlined.

Conclusions:

• Vesico-intestinal fistulas require a thorough understanding of their multifactorial etiology and complex pathophysiology.
• Accurate diagnosis, aided by advanced imaging techniques, is crucial for effective management.
• Surgical intervention remains the cornerstone of treatment, with principles guided by fistula characteristics.