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[Urinary bladder fistulas]

A Larsen1, T E Johansen

  • 1Kirurgisk avdeling, Telemark sentralsjukehus, Porsgrunn.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|February 28, 1993
PubMed
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This study reviewed 19 urinary bladder fistula cases, primarily enterovesical fistulas, treated between 1978-1991. Surgical intervention was common, with varied outcomes including complications and relapses.

Area of Science:

  • Urology
  • Surgical Gastroenterology

Context:

  • Urinary bladder fistulas are complex conditions often arising from diverticulitis, surgery, or malignancy.
  • This study examines a cohort treated over a 13-year period.

Purpose:

  • To analyze the treatment outcomes for various types of urinary bladder fistulas.
  • To evaluate the efficacy of surgical and conservative management strategies.

Summary:

  • Nineteen patients with urinary bladder fistulas (12 enterovesical, 4 vesicovaginal, 1 vesicouterine, 2 vesicocutaneous) were treated.
  • Conservative management was used in 4 patients; 15 underwent surgery, including fistula extirpation and intestinal resection in some.
  • Postoperative complications included mortality in 4 patients, one relapse, and nerve damage.

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Impact:

  • Provides insights into the management of complex urinary bladder fistulas.
  • Highlights the surgical challenges and potential complications associated with these conditions.