Keady C, Hechtl D, Joyce M. When the bowel meets the bladder: Optimal management of colorectal pathology with urological involvement. World J Gastrointest Surg 2020; 12(5): 208-225 [PMID: 32551027 DOI: 10.4240/wjgs.v12.i5.208]
Corresponding Author of This Article
Conor Keady, BM BCh, Doctor, Senior House Officer, Department of Colorectal Surgery, Galway University Hospital, Newcastle Road, Galway H91 YR71, Ireland. conor.k4@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. May 27, 2020; 12(5): 208-225 Published online May 27, 2020. doi: 10.4240/wjgs.v12.i5.208
When the bowel meets the bladder: Optimal management of colorectal pathology with urological involvement
Conor Keady, Daniel Hechtl, Myles Joyce
Conor Keady, Daniel Hechtl, Myles Joyce, Department of Colorectal Surgery, Galway University Hospital, Galway H91 YR71, Ireland
Author contributions: Keady C and Joyce M conceived the original idea; Keady C performed a comprehensive review of all available literature, synthesised the data and wrote the manuscript; Hechtl D performed a secondary literature review and data synthesis, and critically appraised the manuscript; Joyce M was the senior author and contributed to the study design, manuscript structure and performed a final critical appraisal of the manuscript; all authors read and approved the final manuscript.
Conflict-of-interest statement: Authors declare no conflict of interests for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Conor Keady, BM BCh, Doctor, Senior House Officer, Department of Colorectal Surgery, Galway University Hospital, Newcastle Road, Galway H91 YR71, Ireland. conor.k4@gmail.com
Received: December 31, 2019 Peer-review started: December 31, 2019 First decision: March 24, 2020 Revised: April 10, 2020 Accepted: May 12, 2020 Article in press: May 12, 2020 Published online: May 27, 2020 Processing time: 147 Days and 11.7 Hours
Core Tip
Core tip: Fistulae between the gastrointestinal and urinary systems are rare but are becoming increasingly more common. They are a heterogeneous group of pathological entities that are uncommon complications of both benign and malignant processes. Management strategies vary, with most surgeons now advocating for a single-stage approach to enterovesical fistulae whenever possible. Concomitant bladder management techniques are also disputed. Traditionally, open techniques were the standard; however, increased experience and advances in surgical technology have contributed to refined and improved laparoscopic management. With regard to rectourinary fistulae, a transperineal approach provides optimum exposure and allows for the use of interposition muscle grafts.
