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Urinary fistulas in Crohn's disease
Surgery, Gynecology & Obstetrics
|April 1, 1982
Summary
Diagnosing urinary fistulas in Crohn's disease patients often relies on pneumaturia. Surgical treatment involving fistula division and intestinal resection yields excellent long-term outcomes.
Area of Science:
- Gastroenterology
- Urology
- Surgical Oncology
Background:
- Crohn's disease frequently complicates with urinary fistulas.
- Pneumaturia is a common diagnostic indicator for these fistulas.
Purpose of the Study:
- To report on the diagnosis and surgical management of urinary fistulas in Crohn's disease patients.
- To evaluate the efficacy of surgical interventions for Crohn's disease-related urinary fistulas.
Main Methods:
- Retrospective analysis of 16 patients with urinary fistulas complicating Crohn's disease.
- Diagnosis primarily based on patient history of pneumaturia.
- Surgical approach tailored to fistula location, involving division, intestinal resection, anastomosis, and bladder closure.
Main Results:
- Fifteen of sixteen fistulas were diagnosed via pneumaturia.
- Roentgenologic procedures had limited diagnostic value.
- Surgical treatment demonstrated excellent long-term results.
Conclusions:
- Pneumaturia is a highly reliable sign for diagnosing urinary fistulas in Crohn's disease.
- Surgical management, though varied, is effective in treating these complex fistulas.
- The described surgical approach offers excellent long-term outcomes for patients.