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Related Experiment Videos

Enterovesical fistula: 10 years experience

J H Hsieh1, W S Chen, J K Jiang

  • 1Department of Surgery, Veterans General Hospital-Taipei, Taiwan, R.O.C.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|May 1, 1997
PubMed
Summary

Enterovesical fistula diagnosis is best achieved by combining cystography, barium enema, and cystoscopy. Surgical management for enterovesical fistula should be individualized based on patient condition and disease severity.

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Area of Science:

  • Urology
  • Gastroenterology
  • Surgical Oncology

Background:

  • Enterovesical fistula is a rare complication of pelvic conditions, including malignancy, diverticulitis, and post-operative radiation.
  • Diagnosis and management of enterovesical fistula present significant clinical challenges.

Purpose of the Study:

  • To identify optimal diagnostic methods for enterovesical fistula.
  • To discuss and compare various surgical management strategies for enterovesical fistula.

Main Methods:

  • Retrospective review of 30 patients diagnosed and treated for enterovesical fistula between 1986 and 1995.
  • Analysis of patient symptoms, underlying causes, diagnostic procedures, treatments, and outcomes.

Main Results:

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  • Recurrent urinary tract infection (73%) was the most frequent symptom, followed by fecaluria (43%) and urine per rectum (40%).
  • Malignancy (36%) was the leading cause, with postoperative radiotherapy (17%) and iatrogenic injury (17%) also significant.
  • Diagnostic accuracy was high using cystography (90%), barium enema (75%), and cystoscopy (69%).

Conclusions:

  • Combining cystography, barium enema, and cystoscopy enables near-universal diagnosis of enterovesical fistula.
  • Single-stage surgical operations for enterovesical fistula are best reserved for select patients without severe comorbidities or disease progression.