What is the role of endoscopy in the treatment of enterovesical fistula?

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

A review of the literature reveals one reported case of a colovesical fistula treated with transurethral resection with no evidence of recurrence in more than 2 years of follow-up. [63] With the development and advancements of hemostatic sealants, endoscopic injection of these materials is possible as a minimally invasive treatment. One concern would be the presence of foreign material in direct contact with the urine possibly acting as a nidus for stone formation. Few clinical trails have studied the application of these sealants, and this author does not recommend their use from an endoscopic approach.


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