Intestino-Vesical Fistula

Abstract

Fourteen cases of acquired intestino-vesical fistula are reported and compared with other published series. Most of the fistulas (10 of 14) arose from the sigmoid colon. Diverticulitis was a more common cause than carcinoma of the sigmoid. One patient succumbed postoperatively to uraemia. It is suggested that all patients with this disorder should come to surgery, and surgery carried out in three stages, consisting of colostomy, resection of the involved part of colon and closure of the colostomy. The prospect of healing are favourable if the renal damage is not too far-advanced. A carcinoma of the sigmoid with a fistula to the urinary bladder need not be inoperable.