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[Treatment of colo-vesical fistulas in one-stage operation]
R Tiguert1, E L Gheiler, M V Tefilli
1Département d'Urologie, Wayne State University, Detroit, Michigan 48201, USA.
Objectives:
To evaluate the results of one-stage surgical treatment of colo-vesical fistulas.
Material And Methods:
24 patients (16 males and 8 females) were treated for colo-vesical fistula by this technique. Sigmoid diverticulosis represented the commonest aetiology. In our study, cystoscopy was the most useful modality for the diagnosis of fistula.
Results:
No deaths and no recurrent fistulas were observed. However, one case of peritonitis secondary to dehiscence of the colo-colonic anastomosis in a patient suffering from Crohn's disease and two wall abscesses in diabetic patients were observed.
Conclusion:
The morbidity and mortality rates after one-stage treatment of colo-vesical fistulas were low. This method not only improves the patient's quality of life, but is also less expensive, by avoiding a second hospitalisation and can be proposed as first-line treatment.