How has the treatment of enterovesical fistula evolved over time?

Updated: Dec 24, 2020
  • Author: Joseph Basler, MD, PhD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

As early as the second century CE, Rufus of Ephesus described fistulae between the bowel and the bladder. The common causes of acquired vesicoenteric fistulae have shifted from diseases of the past (eg, typhoid, amebiasis, syphilis, tuberculosis) to diverticulitis, malignancy, Crohn disease, and iatrogenic causes.

Treatments have also evolved. In 1888, some suggested that colovesical fistulae "might be cured by a course of Bristol water and ass's milk." [2] Although more invasive, certainly less colorful, and possibly more palatable, a single-stage surgical approach is more commonly used today.


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