How are enterovesical fistula involving the ureter repaired?

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

Most colovesical fistulae enter the bladder well away from the trigone. When fistulae enter the bladder close to the trigone, avoid periureteral dissection to prevent devascularization. If identification is difficult, ureters can be stented intraoperatively or observed either endoscopically or through the vesicostomy after intravenous injection of indigo carmine or methylene blue.


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