ArticleBMC surgery2019
Is suturing of the bladder defect in benign Enterovesical fistula necessary?
Article in BMC surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 7 citations in OpenAlex.
- Urothelial Bladder Carcinoma Incidentally Coexisting with an Ileovesical Fistula Caused by Perforation of Meckel's Diverticulum: A Case Report.Reports (MDPI) · 2026Article
- A Case of Penile Cavernosal Abscess Associated With Sigmoid Colovesical Fistula.IJU case reports · 2025Article
- Laparoscopic management of colovesical fistula in different clinical scenarios.Journal of minimal access surgery · 2024Article
- Management of Enterovesical Fistula in a Patient with Crohn's Disease: A Case Report and Literature Review.Diagnostics (Basel, Switzerland) · 2023Article
- Urinary bladder fistula following laparoscopic inguinal hernioplasty: a case report.BMC surgery · 2021Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnterovesical fistula (EVF) is a abnormal connection between the intestine and the bladder. The aim of the study was to analyze whether closure of the defect in the bladder wall during surgery is always necessary.
methodsFifty-nine patients with benign EVF undergoing surgical treatment were enrolled. A one-stage surgical procedure was performed in all patients. After the separation of the diseased bowel segment, methylene blue was introduced. Through a catheter into the bladder. Only patients with urinary bladder leakage were sutured.
resultsThe most common intestinal fistula involving the urinary bladder was colovesical fistula, observed in 53% of cases. Two-thirds of patients had diverticular disease as the underlying pathology. There was no relationship between suturing of the bladder and perioperative complications. Recurrent EVF was observed in one patient with bladder suturing and in two patients without suture.
conclusionsThese findings suggest that closure of the bladder defect is not necessary in cases where a leak is not demonstrated from the bladder intraoperatively. This study is limited by its retrospective design and small numbers and a randomized controlled trial is recommended to answer this question definitively.
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