[Role of complementary tests in the management of colo-vesical fistulae].
OBJECTIVE
Colo-vesical fistulas (CVF) are a complication of inflammatory or neoplastic diseases of the lesser pelvis. Although the clinical diagnosis is obvious in the presence of pneumaturia or faecaluria, a number of patients require complementary diagnostic and/or pretreatment investigations. The objective of this study was to analyse the management of these patients in order to define the place and cost-effectiveness of complementary investigations.


METHODS
This retrospective study was based on 37 patients with a colo-vesical fistula, secondary to sigmoid diverticulitis in 60% of cases.


RESULTS
Cystoscopy was the most cost-effective examination for the diagnosis of CVF with a sensitivity of 94%. The preoperative assessment of CVF and the underlying disease was optimally performed by a combination of cystoscopy, opaque enema and CT.


CONCLUSIONS
Our study defined the place of the various examinations in the assessment of colo-vesical fistula, but the value of magnetic resonance imaging, not performed in this series, remains to be defined.
Cappèle
O
O
Service d'Urologie, Centre Hospitalier Régional et Universitaire, Rouen, France.
Scotté
M
M
Sibert
L
L
Songné
B
B
Grise
P
P
Ténière
P
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003108:Colonic Diseases / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D001747:Urinary Bladder Fistula / Q000175:diagnosis*
La place des examens complémentaires dans la prise en charge des fistules colo-vésicales.