Urologic Aspects of Vesicoenteric Fistulas

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Abstract
The classic symptoms of pneumaturia and fecaluria were not present in many of 100 patients (male to female ratio of 2.4) with vesicoenteric fistulas who presented with fever, abdominal mass or cystitis. There was a urinary tract infection in 95% of the patients studied but only 29% had a mixed infection. Roentgenographic studies suggested a fistula in 18-35% of those studied but cystoscopy was singularly the most successful diagnostic technique (79%). Inflammatory bowel disease in 63% and colorectal adenocarcinoma in 16% were the most common etiologic factors. Bladder carcinoma was the cause in only 5%. Treatment consisted of single or multistage surgical repair or fecal diversion in 95 operable patients, with gratifying results, and of expectant management in the 5 inoperable patients.

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