VESICOSIGMOIDAL FISTULA CAUSED BY DIVERCULITIS

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Other Title
  • 結腸憩室炎による膀胱S状結腸瘻
  • 結腸憩室炎による膀胱S状結腸瘻--自験例と本邦報告例の検討
  • ケッチョウ ケイシツエン ニ ヨル ボウコウ Sジョウ ケッチョウロウ ジケンレイ ト ホンポウ ホウコクレイ ノ ケントウ
  • REPORT OF CASES AND LITERATURE REVIEW IN JAPAN
  • 自験例と本邦報告例の検討

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Abstract

(Background) In Japan, patients suffering vesicosigmoidal fistula caused by diverculitis is increasing. Our aim is to report our seven cases and the literature review related with this disease.<br>(Methods) A retrospective record review of seven patients in our hospital who were diagnosed and treated for vesicosigmoidal fistulas over a 12-year period from 1994 was performed. Data collection focused on symptoms, diagnostic studies, and methods of management.<br>(Results) All of the patients were male whose ages ranged from 41 to 82 years, with a mean age of 60.7 years. All of the patients presented with some of the common presenting symptoms of pneumaturia, fecaluria, irritation, abdominal pain, recurrent urinary tract infection, macroscopic hematuria. In all cases, abnormal cystoscopic findings were observed. Onestage colectomy with partial cystectomy was underwent in all cases.<br>(Conclusion) Many of the patients suffering from vesicosigmoidal fistula caused by diverticulitis have urological symptoms. So the above mentioned examinations are required when the outpatients complained of pneumaturia, fecaluria, irritative voiding symptoms, reccurent urinary tract infection. After diagnosed, surgical treatment is the most standard therapy and when the appropriate operative method is selected, postoperative prognosis is favorable.

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