DIAGNOSIS AND MANAGEMENT OF COLOVESICAL FISTULAS

  • 1 January 1976
    • journal article
    • research article
    • Vol. 143  (1) , 71-74
Abstract
Diagnosis and management may present difficult problems in patients with colovesical fistulas. Symptoms in the urinary tract are most common, and cystoscopy and cystography are the most valuable diagnostic procedures. It may not always be possible to demonstrate the fistula by diagnostic tests, and a high index of suspicion should be maintained in patients with inflammatory or neoplastic disease of the rectosigmoid area or bladder with recurrent cystitis. Definitive treatment should include resection of the fistula and diseased segment of the intestine. Both 1 stage and multistage procedures have their place in the treatment of this condition. There are specific criteria for success for a 1 stage procedure.

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