Entero vesical fistulae after irradiation for carcinoma cervix: management concerns

ABSTRACT

To evaluate the treatment options in entero-vesical fistulae following irradiation for carcinoma cervix. Seven patients with entero-vesical fistulae secondary to radiation therapy for carcinoma cervix were evaluated and subjected to repair surgery. Two patients had ileo-vesical, one jejuno-vesical fistula, two had a fistula communicating with the sigmoid colon, one with transverse colon and one with vagina and rectum. All were repaired successfully. They were followed-up for 3 years showing no recurrence of malignancy and closure of the fistula. Entero-vesical fistulae can be a complication of radiotherapy for carcinoma cervix. Critical evaluation and assessment before excision surgery has a positive impact on the outcome: