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What is the Colovesical Fistula?
A colovesical fistula is an unnatural connection between the colon and the bladder . It may occur due to gastrointestinal conditions such as diverticulitis and Crohn ’s disease .
Enterovesical fistulous withers is classify as :
The Costa Rican colon is the orotund part of the bowel and is responsible for removing water and nutrient from the food that is part digested.(1 )
The vesica is an harmonium that stores piddle .
A colovesical fistula , on average , prepare between the age of 55 - 75 years and is more rough-cut in males.(2 )
Causes of Colovesical Fistula
Diverticulitis is the most vulgar causa of colovesical fistula and chronicle for two - thirds of all cases.(2)It may contribute to the formation of abscesses around the El Salvadoran colon that may extend or tear into the adjacent organ .
Other causes of colovesical fistulous withers include :
Symptoms of Colovesical Fistula
A soul with a colovesical fistula may evolve the following symptom .
If a mortal has repeated abdominal pain and urinary nerve pathway infection , there may be a possible action of the mien of a colovesical fistula .
How to Diagnose Colovesical Fistula?
There are various method to diagnose the colovesical fistula .
CT run down : These can be helpful to the doctor in check the abnormal walls between the harmonium .
Colonoscopy : In this subroutine , the doctor inserts a microscope camera into the colon . It is less precise than a CT scan but can be helpful in eliminating any cancerous movement of the fistula .
Cystoscopy : In this process , a camera is placed into the vesica to see whether a fistula is present or not .
Barium Enema : It can be helpful in identifying any trouble with the colon . In it , water system contain barium coats the inside of the rectum . This allows the doctor to see particular expert than standard tomography .
Assessment of these tests and a physical examination can be helpful in determining the comportment of a colovesical fistula .
Treatment and Management of Colovesical Fistula
operation or more buttoned-down treatments are used by doctor to treat colovesical sinus .
bourgeois intervention can be helpful in allow the fistula to heal . These include antibiotic intervention to reduce the infection . The medication may also be helpful in treating diverticulosis or Crohn ’s disease , which may be causing a fistula .
A Dr. recommends corrode more dietetic roughage to soften the ordure and free the symptoms of diverticulitis .
Crohn ’s disease may be treated with medication , dietary changes , and postscript . The target of the treatment is to take over inflammation , thin the occurrence of flair and improve nutrition and food absorption .
Surgical Procedure
operative methods are needed if , bourgeois methods fail to take over symptom .
The surgeon may bump off the fistulous withers and repair the scathe caused between the organ to break off the fluid substitution .
The discussion of colovesical fistula involves :
surgical procedure is find on the basis of the locating of the fistula , the most common being between the sigmoid colon and vesica . Therefore , the most common procedure is sigmoid colectomy . It involves the removal of all or a part of the sigmoid colon . This may be performed as an open operating theatre or laparoscopic surgery . In enquiry , it is observed that the doctor reserve laparoscopic option for select cases.(3 )
A person may recover from fistula removal surgery in 7 - 10 days , 8 Clarence Day being an average.(4 )
Colovesical fistulous withers is a uncommon freakishness that may develop due to other conditions or surgical operation . There are various symptomatic methods to make up one’s mind why a person is experiencing it . The treatment bet on the eccentric of fistula and its cause .
