Benign Prostatic Hyperplasia Can Be Protective

A Case Study

Jessica Wilkinson, MBChB; Jonathan Bird, BSc, PA; Edmund Leung, MBBS, MRCS, DMSc, FRCS


Urol Nurs. 2020;40(5):248-250. 

In This Article

Abstract and Introduction


Case Study

Colovesical fistula formation occurs in 65% to 75% of patients with complicated diverticular disease, but it is also a common complication of other inflammatory bowel conditions, such as crohn's disease, malignancy, and radiation. Most fistulas will need a surgical approach to management, and those considered not fit for surgery due to comorbidities are left with a higher mortality rate due to the risk of urosepsis relating to the fistula. However, this case illustrates a comorbidity, such as benign prostatic hyperplasia (BPH), may reduce both morbidity and mortality. in fact, in this patient's case, his quality of life actually improved with BPH where he did not suffer from urinary tract infections.