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[Acquired enterovesical fistulas]

F M Alapont Pérez1, M Gil Salom, J P Esclapez Valero

  • 1Servicio de Urología, Hospital Clínico Universitario, Valencia, España.

Archivos Espanoles De Urologia
|December 1, 1994
PubMed
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This study analyzed 23 acquired vesicoenteric fistula cases, finding inflammatory causes most common. Surgical resection of the fistula and affected bowel segment, followed by bladder repair, was the primary treatment approach.

Area of Science:

  • Urology
  • Gastroenterology
  • Surgical Oncology

Background:

  • Acquired vesicoenteric fistula is a complex condition with diverse etiologies.
  • Common symptoms include pneumaturia and fecaluria, significantly impacting patient quality of life.
  • Diagnosis and management require a multidisciplinary approach.

Purpose of the Study:

  • To review the etiology, diagnosis, and treatment of acquired vesicoenteric fistulae.
  • To evaluate the effectiveness of diagnostic modalities and surgical interventions.
  • To provide insights into optimal management strategies based on a 12-year experience.

Main Methods:

  • Retrospective analysis of 23 patients with acquired vesicoenteric fistula treated over 12 years.
  • Review of patient records, focusing on etiology, symptoms, diagnostic procedures, and treatment outcomes.

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  • Cystoscopy and various imaging techniques were employed for diagnosis and staging.

    • Main Results:

    • Inflammatory (48%), neoplastic (35%), and iatrogenic (17%) causes were identified.
    • Pneumaturia and fecaluria were the most frequent presenting symptoms (78%).
    • Cystoscopy proved highly effective for fistula detection (13/18 cases); imaging aided in assessing GI status and etiology.

    Conclusions:

    • Acquired vesicoenteric fistulae necessitate tailored treatment based on etiology, location, and patient condition.
    • Surgical resection of the fistulous tract and involved intestinal segment, coupled with bladder suture, is a frequently applied and effective treatment.
    • Accurate diagnosis, often aided by cystoscopy, is crucial for successful management.