Vesicointestinal fistula treatment
A vesicointestinal fistula is an abnormal connection (fistula) between the bladder and the intestinal tract (bowel). As a rule, a fistula is a complication of bowel disease or medical procedures. Treatment options include antibiotic therapy and surgery to close the hole.
A vesicointestinal fistula is an unusual passage connecting the bladder and intestines. This disease is also called vesicoenteric or enterovesical. For example, such a connection may be between the bladder and the large intestine or rectum.
An enterovesical opening is rare, occurring in about 1 in 3,000 patients. The disease mainly happens in patients over 50 and is 3-5 times more common in men than women.
Vesicointestinal fistulas develop as a result of such reasons:
- Diverticulitis, when the protrusions of the intestines become inflamed;
- Colon or bladder cancer;
- Crohn's disease;
- Infections or bladder stones;
- Injuries during childbirth;
- Surgical manipulations (uterus removal, caesarean section).
These disorders cause an opening that leads to the formation of a fistula.
Urologists diagnose the disease using unique examination methods that help to detect an abnormal connection between the bladder and intestines: barium test, sigmoidoscopy, and cystoscopy.
Treatment of a vesicointestinal fistula includes therapy for the underlying disease that led to the opening formation. First, doctors perform a bladder catheterization and prescribe antibiotics against the infection. Next, surgeons close the hole surgically.
Where can I get Vesicointestinal fistula treatment?
What are the best clinics for Vesicointestinal fistula treatment?
Who are the best doctors for Vesicointestinal fistula?
Prof. Dr. med. Jurgen Gschwend from University Hospital rechts der Isar Munich
Prof. Dr. Torremade Barreda Josep from Teknon Medical Centre Barcelona
Dr. Luis Garcia Aparicio from Teknon Medical Centre Barcelona
Prof. Dr. med. Martin Kriegmair from Urological Clinic Munich-Planegg
Prof. Dr. med. Laszlo Kovacs from Urological Clinic Munich-Planegg