Abstract
Colovesical fistulas were identified in 42 patients. Diverticulitis was the underlying cause in 40 per cent of the patients. Carcinoma of the colon or cervix caused 33 per cent of the fistulas. Cystoscopy was the most effective procedure in diagnosing the fistulas. Surgical therapy had to be individualized to the patient's condition. Fistulas secondary to radiation were associated with a high complication rate.
MeSH terms
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Adult
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Aged
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Barium Sulfate
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Colonic Diseases / diagnostic imaging
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Colonic Diseases / etiology
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Colonic Diseases / surgery*
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Colonic Neoplasms / complications
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Colonic Neoplasms / diagnostic imaging
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Colonic Neoplasms / surgery
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Cystoscopy
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Diverticulitis / complications
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Diverticulitis / diagnostic imaging
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Diverticulitis / surgery
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Enema
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Female
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Humans
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Intestinal Fistula / diagnostic imaging
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Intestinal Fistula / etiology
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Intestinal Fistula / surgery*
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Male
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Middle Aged
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Postoperative Complications
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Radiation Injuries
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Radiography
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Urinary Bladder Fistula / diagnostic imaging
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Urinary Bladder Fistula / etiology
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Urinary Bladder Fistula / surgery*
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Uterine Cervical Neoplasms / complications
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Uterine Cervical Neoplasms / diagnostic imaging
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Uterine Cervical Neoplasms / surgery