title: Review of 31 vesicointestinal fistulas: diagnosis and management.
abstract: Review of 31 cases of enterovesical fistulas treated at the Departments of Urology and General Surgery during the period 1970-1982. In 20 cases (64.5%) the underlying cause was a carcinoma (overall colorectal neoplasm) and in 7 cases (23%) it was an inflammatory disease. Gouverneur's syndrome (suprapubic pain, frequency, dysuria, urinary pain and tenesmus) was present in 17 patients (54.8%). Pneumaturia and fecaluria were present in 18 and rectal micturition in only 5. The diagnosis was based on cystograms in 66.6% of the patients. Other explorations oriented us towards the location of the fistula but only confirmed it in a low percentage (10-30%). The treatment undertaken varied in each case depending on the etiology and the patient's condition: medical (3%), derivative and palliative surgery (23%) and radical surgery (68%).
mesh_terms: D000328:Adult; D000368:Aged; D001064:Appendicitis / Q000150:complications; D003092:Colitis / Q000150:complications; D003110:Colonic Neoplasms / Q000150:complications; D005243:Feces; D005260:Female; D005740:Gases / Q000652:urine; D006417:Hematuria; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality; D012004:Rectal Neoplasms / Q000150:complications; D012086:Reoperation; D012810:Sigmoid Diseases / Q000150:complications; D013577:Syndrome; D001747:Urinary Bladder Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000150:complications; D014552:Urinary Tract Infections / Q000209:etiology
chemical_list: D005740:Gases