Skip to main content

Advertisement

Log in

The vesicosigmoidal fistula: Diagnosis and surgical treatment

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Abeshouse, B. S., Robbins, M. A., Gann, M., Salik, J. O.: Intestinovesical fistulas.JAMA, 164, 251 (1957).

    CAS  Google Scholar 

  2. Aldrete, J. S., Remine, W. H.: Vesicocolic fistula—a complication of colonic cancer. Long-term results of its surgical treatment.Arch. Surg., 94, 627 (1967).

    PubMed  CAS  Google Scholar 

  3. Badlani, G., Abrams, H. J., Levin, L., Sutton, A. P., Buchbinder, M.: Enterovesical fistulas in Crohn disease.Urology, 6, 599 (1980).

    Article  Google Scholar 

  4. Best, J. W., Davis, R. M.: Vesicointestinal fistulas.J. Urol., 101, 62 (1969).

    PubMed  CAS  Google Scholar 

  5. Borresen, T., Eldrup, J., Henriksen, O. B., Hald, T.: Appendico-vesical fistula and persistent urachus in a patient with hematuria.Scand. J. Urol. Nephrol., 15, 75 (1981).

    Article  PubMed  CAS  Google Scholar 

  6. Cancelmo, J. J., Eshleman, J. L., Uhlman, R. C., Viek, N. F.: Sigmoido-vesical fistula secondary to diverticulitis.Am. J. Roentgenol., 115, 378 (1972).

    Google Scholar 

  7. Carbone, P., Pagliano, G., Rizzello, N.: Fistole entero-vescicali.Urologia, II, 292 (1984).

    Google Scholar 

  8. Carson, C. C., Malek, R. S., Remine, W. H.: Urologic aspects of vesicoenteric fistulas.J. Urol., 119, 744 (1978).

    PubMed  CAS  Google Scholar 

  9. Cebrelli, C., Sirchi, M., Mottola, P.: Le fistole entero-vescicali.Chir. Italiana, 31, 502 (1979).

    Google Scholar 

  10. Colombeau, P., Vergeres, O., Dumas, J. P., Dabir, P., Viollet, G.: Les fistules colovésicales.Ann. Urol., 17, 58 (1983).

    Google Scholar 

  11. Deshmukh, A. S., Bansal, N. K., Kropp, K. A.: Use of methylene blue in suspected colovesical fistula.J. Urol., 118, 819 (1977).

    PubMed  CAS  Google Scholar 

  12. Di Bella, F., Pescio, G. L., Lusardi, L., Cuneo, M.: Su un caso di fistola colo-vescicale da diverticolite del sigma.Minerva Chir., 37, 2039 (1982).

    PubMed  Google Scholar 

  13. Ducassou, J., Richaud, C., Duvinage, J. F., Hermanowicz, M.: L'aspect urologique des fistules vésico-intestinales.J. Urol. Nephrol., 3, 153 (1977).

    Google Scholar 

  14. Geier, G. R., Ujiki, G. T., Shields, T. W.: Colovesical fistula.Arch. Surg., 105, 347 (1972).

    PubMed  Google Scholar 

  15. Giuliani, L., Pescatore, D., Giberti, C., Parisini, B., Martorana, G.: Le fistole intestinovescicali di origine neoplastica.Minerva Chir., 10, 612 (1977).

    Google Scholar 

  16. Henderson, M. A., Small, W. P.: Vesico-colic fistula complicating diverticular disease.Br. J. Urol., 41, 314 (1969).

    Article  PubMed  CAS  Google Scholar 

  17. Karlaftis, C.: Fistule vésico-intestinale congénitale.J. Urol. Nephrol., Suppl.2 (83), 634 (1977).

    Google Scholar 

  18. Kyle, J., Murray, C. M.: Ileovesical fistula in Crohn's disease.Surgery, 66, 497 (1969).

    PubMed  CAS  Google Scholar 

  19. Krco, M. J., Jacobs, S. C., Malangoni, M. A., Lawson, R. K.: Colovesical fistulas.Urology, 23, 340 (1984).

    Article  PubMed  CAS  Google Scholar 

  20. Krompier, A., Howard, R., MacEwen, A., Natoli, C., Wear, J. B.: Vesicocolonic fistulas in diverticulitis.J. Urol., 115, 664 (1976).

    PubMed  CAS  Google Scholar 

  21. Malin, J. M., Hoodin, A. O., Evans, A. T.: Clinical application of gold leaf in the treatment of urinary fistulas: preliminary report.J. Urol., 99, 750 (1968).

    PubMed  Google Scholar 

  22. Marti, M. C., Simmen, U.: Les fistules entero-vésicales.J. Chir (Paris),117, 469 (1980).

    CAS  Google Scholar 

  23. Moisey, C. U., Williams, J. L.: Vesico-intestinal fistulae.Br. J. Urol., 44, 662 (1972).

    PubMed  CAS  Google Scholar 

  24. Morrison, P. D., Addison, N. V.: A study of colovesical fistulae in a district hospital.Ann. R. Coll. Surg. Engl., 65, 221 (1983).

    PubMed  CAS  Google Scholar 

  25. Morse, E. P., Dretler, S. P.: Diagnosis and treatment of colovesical fistula.J. Urol., 111, 22 (1974).

    PubMed  Google Scholar 

  26. Parc, R., Blondiau, P., Cugnenn, C. C., Letoublon, C., Loygue, J.: Fistules colo-vésicales d'origine diverticulaire.Sem. Hop. Paris, 59, 310 (1983).

    PubMed  CAS  Google Scholar 

  27. Smith, P. J. B., Williams, R. E., De Dombal, A. T.: Genito-urinary fistulae complicating Crohn's disease.Br. J. Urol., 44, 657 (1972).

    PubMed  CAS  Google Scholar 

  28. Perez, G., Coulange, C., Lacoste, M., Bricot, R., Rampal, M.: Une série de 17 fistules sigmoido-vésicales.J. Urol. Nephrol., 89, 365 (1983).

    Google Scholar 

  29. Pugh, J. I.: On the pathology and behaviour of acquired non-traumatic vesico-intestinal fistula.Br. J. Surg., 51, 644 (1964).

    PubMed  CAS  Google Scholar 

  30. Raaijmakers, Von, P. A. M., Boetes, C., Strijk, S. P., De Boer, H. H. M., Debruyne, F. M. J., Rosengusch, G.: Direkte urologische Komplikationen bei der Crohnschen Erkrankung: Enterovesikale Fisteln und Ureterobstruktion.Fortschr. Röntgenstr., 138, 162 (1983).

    Article  CAS  Google Scholar 

  31. Rovinescu, I.: La fistule vésico-appendiculaire.J. Urol. Nephrol., 87, 527 (1981).

    CAS  Google Scholar 

  32. Shatila, A. H., Ackerman, N. B.: Diagnosis and management of colovesical fistulas.Surg. Gynecol. Obstet., 143, 71 (1976).

    PubMed  CAS  Google Scholar 

  33. Steg, A.: Les fistules entero-vésicales.J. Urol. Nephrol., 77, 390 (1971).

    Google Scholar 

  34. Vicini, D., Mensi, M., Ravasi, S.: Le fistole sigmoido-vescicali.Urologia, III, 363 (1982).

    Google Scholar 

  35. Ward, J. N., Lavengood, R. W., Nay, H. R., Draper, J. W.: Diagnosis and treatment of colovesical fistulas.Surg. Gynecol. Obstet., 130, 1082 (1970).

    PubMed  CAS  Google Scholar 

  36. Wesolowski, S., Bulinski, W.: Vesico-intestinal fistulae and recto-urethral fistulae.Br. J. Urol., 45, 34 (1973).

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Malossini, G., Cavalleri, S., Comunale, L. et al. The vesicosigmoidal fistula: Diagnosis and surgical treatment. International Urology and Nephrology 19, 271–277 (1987). https://doi.org/10.1007/BF02549863

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02549863

Keywords

Navigation