What Is Colovesical Fistula?

1 Answer

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A colovesical fistula, also referred as vesicocolic fistula, is a rare condition, which means that there is an open connection between the colon and the bladder, causing the fecal matter from the colon to enter the bladder. Causes It's reported that over 50% of colovesical fistula cases are the result of diverticular disease. Other colovesical fistula may be caused by:
  • colorectal cancer;
  • inflammatory bowel disease, particularly Crohn’s disease;
  • surgery that involves the colon or bladder;
  • radiotherapy;
  • cancer of other surrounding organs.
Symptoms Common symptoms of colovesical fistula include:
  • Pneumaturia: you may find bubbles in urine;
  • Fecaluria: you will see a brownish color or cloudiness in urine;
  • Dysuria: it causes a painful or burning sensation when you urinate, and recurrent urinary tract infections (UTI);
  • Hematuria: you would notice blood in your urine;
  • Diarrhea and abdominal pain.
Treatments Surgery is considered as the standard treatment for the colovesical fistula. But if surgery is not safe for patients, doctors may also recommend conservative treatment, such as:
  • being fed through your veins so your intestines do not have to work and can rest
  • antibiotics and steroid medications
  • having a catheter inserted into the bladder to drain fluid that may have seeped into it from the colon.
If have any further questions, please go to see a doctor for professional help. Key words: colovesical fistula; vesicocolic fistula; diverticular disease; pneumaturia; fecaluria; dysuria; urinary tract infections (UTI); Hematuria.