Next Article in Journal
Acute Effects of Osteopathic Treatment in Long COVID-19 Patients with Fatigue Symptoms: A Randomized, Controlled Trial
Previous Article in Journal
Treatment Landscape of Metabolic-Dysfunction-Associated Steatotic Liver Disease
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
JCM
Volume 14
Issue 17
10.3390/jcm14176065
jcm-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Article

Comparison of Open Versus Minimally Invasive Repair of Colovesical Fistula: A Case Report and Propensity-Matched National Database Analysis

by
Alexis Volkert
1,
Anmol Nigam
1,*,
David Stover
2,
Pravin Meshram
1,
Rubeena Naaz
3,
Chidiebere Onongaya
1,
Sean Huu-Tien Nguyen
1,
Jordan Sauve
1,
Wolfgang Gaertner
4 and
James V. Harmon Jr.
1
1
Department of Surgery, University of Minnesota, Minneapolis, MN 55455, USA
2
Department of Surgery, Astera Health, Wadena, MN 56482, USA
3
Shadan Institute of Medical Sciences, Hyderabad 500086, India
4
Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, Minneapolis, MN 55455, USA
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2025, 14(17), 6065; https://doi.org/10.3390/jcm14176065 (registering DOI)
Submission received: 31 July 2025 / Revised: 22 August 2025 / Accepted: 25 August 2025 / Published: 27 August 2025
(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
Browse Figure
Versions Notes

Abstract

Background: Colovesical fistulas are abnormal communications between the colon and urinary bladder, most commonly caused by diverticular disease. Although colovesical fistulas are rare, they should be suspected in patients presenting with recurrent urinary tract infections, pneumaturia, or fecaluria. We integrated two case reports with a retrospective national cohort analysis to assess the surgical treatment of colovesical fistulas. Methods: We report two cases of colovesical fistulas, both secondary to sigmoid diverticulitis, treated surgically via minimally invasive approaches. A retrospective analysis using the National Inpatient Sample database from 2016 to 2022 was conducted to compare outcomes of open surgery with those of minimally invasive surgery. Propensity score matching and multivariable regression analyses were used to evaluate clinical outcomes. Results: The first patient underwent hand-assisted laparoscopic sigmoidectomy with fistula takedown and has remained asymptomatic at 8 months, while the second patient underwent robotic-assisted sigmoidectomy with staged ileostomy reversal and has remained asymptomatic at 1 month. National data analysis showed no significant difference in mortality (<1% versus <1%, p = 0.931), wound complications (1.4% versus 1.0%; p = 0.554), or postoperative sepsis or shock (7.1% versus 5.6%; p = 0.114) between open and minimally invasive surgical approaches. However, the minimally invasive surgery group had significantly shorter length of stay than the open surgery group (6.9 versus 7.3 days, p < 0.001). Conclusions: Minimally invasive repair of colovesical fistulas was associated with shorter hospital stays than open surgery, with no significant differences in major complications. Early identification and timely surgical management are critical for achieving favorable outcomes.
Keywords: colovesical fistula; enterovesical fistula; minimally invasive surgery; open surgery; diverticulitis; national inpatient sample; propensity score matching colovesical fistula; enterovesical fistula; minimally invasive surgery; open surgery; diverticulitis; national inpatient sample; propensity score matching
Graphical Abstract

Share and Cite

MDPI and ACS Style

Volkert, A.; Nigam, A.; Stover, D.; Meshram, P.; Naaz, R.; Onongaya, C.; Nguyen, S.H.-T.; Sauve, J.; Gaertner, W.; Harmon Jr., J.V. Comparison of Open Versus Minimally Invasive Repair of Colovesical Fistula: A Case Report and Propensity-Matched National Database Analysis. J. Clin. Med. 2025, 14, 6065. https://doi.org/10.3390/jcm14176065

AMA Style

Volkert A, Nigam A, Stover D, Meshram P, Naaz R, Onongaya C, Nguyen SH-T, Sauve J, Gaertner W, Harmon Jr. JV. Comparison of Open Versus Minimally Invasive Repair of Colovesical Fistula: A Case Report and Propensity-Matched National Database Analysis. Journal of Clinical Medicine. 2025; 14(17):6065. https://doi.org/10.3390/jcm14176065

Chicago/Turabian Style

Volkert, Alexis, Anmol Nigam, David Stover, Pravin Meshram, Rubeena Naaz, Chidiebere Onongaya, Sean Huu-Tien Nguyen, Jordan Sauve, Wolfgang Gaertner, and James V. Harmon Jr. 2025. "Comparison of Open Versus Minimally Invasive Repair of Colovesical Fistula: A Case Report and Propensity-Matched National Database Analysis" Journal of Clinical Medicine 14, no. 17: 6065. https://doi.org/10.3390/jcm14176065

APA Style

Volkert, A., Nigam, A., Stover, D., Meshram, P., Naaz, R., Onongaya, C., Nguyen, S. H.-T., Sauve, J., Gaertner, W., & Harmon Jr., J. V. (2025). Comparison of Open Versus Minimally Invasive Repair of Colovesical Fistula: A Case Report and Propensity-Matched National Database Analysis. Journal of Clinical Medicine, 14(17), 6065. https://doi.org/10.3390/jcm14176065

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop