Saiful Khan Turk, Abdul Sattar Memon, M T Vandal, J T Hill.
A Study of Vesico-Intestinal Fistulae.
J Surg Pak Jan ;4(2):5-9.

Vesico-intestinal fistula is a serious but infrequent problem,which comes under observation of urolo gists.It is a paradox that though mostly the primary pathology is intestinal in origin, more frequent presenting features are urinary. A retrospective study was conducted at Oldchurch Hospital, Romford, Essex and Liaquat Medical College Hospital, Hyderabad to observe the etiology, presentation, investigation and management of vesicointestinal fistulae and compare the findings with the experience reported in literature. From January 1983 to July 1998, 23 patients with uesico-fistulae were managed. Age range was 55 to 81 years with male to female ratio 1.3.1. Except one all had surgical intervention. Vesico-colic was the commonest (87%) site of fistulae and 47.8% of fistulae were caused by diuerticular disease of the sigmoid colon. Barium studies, Intravenous Urography (1VU) and cystoscopy demonstrated fistulae in 8 out of 20 (40%) patients. Overall treatment was individualized; 40% had one stage procedure. Patients with underlying malignancy had the worst prognosis.

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