COMBINED ENDOSCOPIC AND CYSTOSCOPIC CLOSURE OF COLOVESICULAR FISTULA
Steve R. Siegal*, John Knoedler, Jeffrey S. Scow, Eric Pauli
Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hummelstown, PA
Case Presentation: A male with a colovesicular fistula was unable to undergo surgery.
Clinical Implications: Endoscopic means of fistula closure were pursued.
Endoscopic Methods: Cystoscopy was used to identify fistula tract and guidewire was advanced. Utilizing rendezvous, an endoscope was advanced over wire to the defect. Over-the-scope clip was deployed. Ablation of the bladder mucosa was performed. Cystogram demonstrated complete closure of the fistula.
Conclusions: Endoscopic and cystoscopic management of colovesicular fistulas is a reliable technique. These methods can be expanded to offer therapy to patients to avoid operative resections.
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