Characteristics of Enterovesical Fistula Patients Visiting the Urology Department of Dr. Hasan Sadikin General Hospital Bandung, Indonesia, from 2015 to 2019

Daniel Saputra, Tjahjodjati Tjahjodjati


Enterovesical fistula (EVF) represents an abnormal channel between the intestine and the bladder. The EVF is a complication of inflammatory or neoplastic diseases and injuries. Diagnosis of EVF can be challenging and often delayed up to several months after the onset of the symptoms. This study aimed to determine the characteristics of patients with enterovesical fistula visiting Dr. Hasan Sadikin General Hospital Bandung, Indonesia. This retrospective descriptive study used the medical records of EVF patients treated in the urology department of Dr. Hasan Sadikin General Hospital from 2015 to 2019 as the secondary data to be analyzed. A total of 58 patients with EVF were enrolled in this study. By gender, that more than half of the patients were male patients (n=30, 51.7%) and 45% of patients were between 41 and 50 years old. The most common symptoms of EVF were pneumaturia and fecaluria which were seen in 30 (51.7%) and 20 (34.5%) patients, respectively. Twenty-nine (50%) patients experienced malnutrition and 18 (31.1%) patients had diabetes mellitus as a comorbid. The most common type of fistula was rectovesical fistula (n=45, 77.6%) and 26 (66.6%) patients suffered from rectosigmoid cancer and malignancy (68.95) had become the most predominant etiology. Escherichia coli was found in 42 (72.4%) urine cultures collected from the patients and cystoscopy with fistula biopsy was found in 43.1% of cases, followed by fistula repair (29.3%) and urethral catheter drainage (15.5%). Hence, malignancy and rectosigmoid cancer become the most common etiology of EVF while cystoscopy with fistula biopsy is the most frequently performed procedure. 


Characteristics, Enterovesical Fistula, Urology

Full Text:



Golabek T, Szymanska A, Szopinski T, Bukowczan J, Furmanek M, Powroznik J, et al. Enterovesical fistulae: aetiology, imaging, and management. Gastroenterol Res Pract. 2013;2013:617967.

Shaydakov ME, Pastorino A, Tuma F. Enterovesical Fistula. [Updated 2021 Sep 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan. Available from:

Holroyd D, Banerjee S, Beavan M, Prentice R, Vijay V, Warren SJTic. Colovaginal and colovesical fistulae: the diagnostic paradigm. 2012;16(2):119–26.

Ye X, Liu Y, He Q. Enterovesical fistula in an Elderly Crohn’s Disease Patient. Clin Gastroenterol Hepatol. 2019;17(11):e129.

Li S, Chen Z, Zhang Q, Huang C, Wang Z, Du S. Four cases of enterovesical fistula and the importance of CT in the diagnosis. BJR Case Rep. 2016;3(1):20150124.

Dziki L, Wlodarczyk M, Sobolewska-Wlodarczyk A, Mik M, Trzcinski R, Hill AG, et al. Is suturing of the bladder defect in benign Enterovesical fistula necessary?. BMC Sur. 2019;19(1):85.

Kaimakliotis P, Simillis C, Harbord M, Kontovounisios C, Rasheed S, Tekkis PP. A Systematic review assessing medical treatment for rectovaginal and enterovesical fistulae in Crohn’s Disease. J Clin Gastroenterol. 2016;50(9):714–21

Benlice C, Nishtala M, Steele SR. Management of enterovesical fistula. Mastery of IBD Surgery: Springer; 2019. p. 219–26.

Lee YT, Chen YY, Wu CY, Chen HM, Tzeng CH. Enterovesical fistula caused by regressive change of non-Hodgkin’s lymphoma: A case report. Oncol Lett. 2016;12(1):331–3.

Giovanni C, Emanuele C, Roberto C, Alberto P, Emanuele L, Alessia C, et al. Laparoscopic conservative surgery of colovesical fistula: is it the right way?. Wideochir Inne Tech Maloinwazyjne. 2013;8(2):162–5.

Ferguson GG, Lee EW, Hunt SR, Ridley CH, Brandes SB. Management of the bladder during surgical treatment of enterovesical fistulas from benign bowel disease. J Am Coll Surg. 2008;207(4):569–72.


Article Metrics

Abstract view : 366 times
PDF - 377 times

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.


Creative Commons License
MKB is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License


View My Stats