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[Vesico-intestinal fistulae]

I Hernández Millán1, A S Salinas Sánchez, J M Pastor Guzmán

  • 1Servicio de Urología, Hospital General de Albacete.

Actas Urologicas Espanolas
|April 1, 1993
PubMed
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Vesicointestinal fistulae, often caused by colorectal cancer, present with varied symptoms like urinary infections. Surgical intervention is the primary treatment for eligible patients.

Area of Science:

  • Urology
  • Gastroenterology
  • Oncology

Context:

  • Vesicointestinal fistulae (VIF) are rare but serious complications.
  • Colorectal cancer is a leading cause of VIF.
  • Diagnosis and management present significant challenges.

Purpose:

  • To review cases of vesicointestinal fistulae treated at our institution.
  • To identify common causes, locations, and presenting symptoms.
  • To evaluate diagnostic and treatment modalities.

Summary:

  • A review of VIF cases revealed colorectal cancer as the most frequent cause (66%) and vesicosigmoideal location as most common (50%).
  • Key symptoms included urinary infection (100%), pneumaturia (66%), and fecaluria (50%).
  • Diagnostic tools like opaque enema, cystography, intravenous urography (IVU), cystoscopy, rectoscopy, and CT scans were utilized. Surgical treatment was pursued when medically feasible.

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Impact:

  • Highlights the significant role of colorectal cancer in VIF etiology.
  • Emphasizes the diagnostic utility of imaging techniques like enema and cystography.
  • Underscores the importance of surgical management in VIF treatment when possible.