[Treatment of colo-vesical fistulas in one-stage operation].
OBJECTIVE
To evaluate the results of one-stage surgical treatment of colo-vesical fistulas.


METHODS
24 patients (16 males and 8 females) were treated for colo-vesical fistula by this technique. Sigmoid diverticulosis represented the commonest aetiology. In our study, cystoscopy was the most useful modality for the diagnosis of fistula.


RESULTS
No deaths and no recurrent fistulas were observed. However, one case of peritonitis secondary to dehiscence of the colo-colonic anastomosis in a patient suffering from Crohn's disease and two wall abscesses in diabetic patients were observed.


CONCLUSIONS
The morbidity and mortality rates after one-stage treatment of colo-vesical fistulas were low. This method not only improves the patient's quality of life, but is also less expensive, by avoiding a second hospitalisation and can be proposed as first-line treatment.
Tiguert
R
R
Département d'Urologie, Wayne State University, Detroit, Michigan 48201, USA.
Gheiler
E L
EL
Tefilli
M V
MV
Wood
D P
DP
Edson Pontes
J
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003108:Colonic Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D001747:Urinary Bladder Fistula / Q000209:etiology / Q000601:surgery*
Le traitement des fistules colo-vésicales en un seul temps opératoire.