The vesicosigmoidal fistula: Diagnosis and surgical treatment

Abstract

The authors report their experience in the diagnosis and treatment of 10 cases of vesicosigmoidal fistula. In accordance with the literature the most frequent presenting symptoms were of urinary origin. For the diagnosis urography was helpful, cystography and cystoscopy allowed the observation of a fistulous orifice, while barium enema confirmed, or removed probable doubts about the nature of the intestinal pathology. Surgical treatment varied from one-stage to multi-stage procedures.

Vesico-Ileal Fistula Caused by a Foreign Body

“…IVP can be used as an aid [2,5]. One-stage surgical management, resection of the involved intestine, simple closure of the bladder defect and primary intestinal anastomosis have been confirmed as the treatment of choice in small intestine fistula [5,6]. Although pelvic malignancies, surgical intervention and radiation therapy are predispositions for vesico-ileal fistulas, we cannot ignore other rare causative factors such as intestinal foreign bodies [5].…”

“…Barium enema and cystoscopy have proved to be the most accurate tools to demonstrate enterovesical fistulae [3,4]. IVP can be used as an aid [2,5]. One-stage surgical management, resection of the involved intestine, simple closure of the bladder defect and primary intestinal anastomosis have been confirmed as the treatment of choice in small intestine fistula [5,6].…”