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Fistulas of the Genitourinary Tract
Amir A. Borhani, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          TERMINOLOGY

          • Definitions

            • Nonanatomic communication between bladder and skin or adjacent viscus
            • Types include enterovesical, colovesical, appendicovesical, uterovesical, vesicovaginal, vesicocutaneous, etc.

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • Ultrasonographic Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Tang YZ et al: Imaging features of colovesical fistulae on MRI. Br J Radiol. 85(1018):1371-5, 2012
                                    2. Ezzat M et al: Repair of giant vesicovaginal fistulas. J Urol. 181(3):1184-8, 2009
                                    3. Granberg CF et al: Functional and oncological outcomes after orthotopic neobladder reconstruction in women. BJU Int. 102(11):1551-5, 2008
                                    4. Rajaian S et al: Persistent multiple vesicocutaneous fistulas or watering-can abdomen. Urol J. 5(4):280-3, 2008
                                    5. Smayra T et al: Vesicouterine fistulas: imaging findings in three cases. AJR Am J Roentgenol. 184(1):139-42, 2005
                                    6. Yu NC et al: Fistulas of the genitourinary tract: a radiologic review. Radiographics. 24(5):1331-52, 2004
                                    7. Pickhardt PJ et al: Acquired gastrointestinal fistulas: classification, etiologies, and imaging evaluation. Radiology. 224(1):9-23, 2002
                                    8. Pollack HM et al: Clinical urography. 2nd ed. Philadelphia: WB Saunders. 3001-3006, 2000
                                    9. Semelka RC et al: Pelvic fistulas: appearances on MR images. Abdom Imaging. 22(1):91-5, 1997
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            TERMINOLOGY

                                            • Definitions

                                              • Nonanatomic communication between bladder and skin or adjacent viscus
                                              • Types include enterovesical, colovesical, appendicovesical, uterovesical, vesicovaginal, vesicocutaneous, etc.

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • CT Findings

                                                  • Ultrasonographic Findings

                                                    • MR Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Gross Pathologic & Surgical Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Tang YZ et al: Imaging features of colovesical fistulae on MRI. Br J Radiol. 85(1018):1371-5, 2012
                                                                      2. Ezzat M et al: Repair of giant vesicovaginal fistulas. J Urol. 181(3):1184-8, 2009
                                                                      3. Granberg CF et al: Functional and oncological outcomes after orthotopic neobladder reconstruction in women. BJU Int. 102(11):1551-5, 2008
                                                                      4. Rajaian S et al: Persistent multiple vesicocutaneous fistulas or watering-can abdomen. Urol J. 5(4):280-3, 2008
                                                                      5. Smayra T et al: Vesicouterine fistulas: imaging findings in three cases. AJR Am J Roentgenol. 184(1):139-42, 2005
                                                                      6. Yu NC et al: Fistulas of the genitourinary tract: a radiologic review. Radiographics. 24(5):1331-52, 2004
                                                                      7. Pickhardt PJ et al: Acquired gastrointestinal fistulas: classification, etiologies, and imaging evaluation. Radiology. 224(1):9-23, 2002
                                                                      8. Pollack HM et al: Clinical urography. 2nd ed. Philadelphia: WB Saunders. 3001-3006, 2000
                                                                      9. Semelka RC et al: Pelvic fistulas: appearances on MR images. Abdom Imaging. 22(1):91-5, 1997