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Sigmoidovesical fistula expansion with sepsis following transurethral resection of prostate: a case report

Year: 2025

Type: article

Abstract: BACKGROUND: Sigmoidovesical fistula (SVF), a rare form of colovesical fistula, predominantly arises from colorectal neoplasms, diverticulitis, or radiation injury. However, no previous literature documents Sigmoidovesical fistula (SVF) expansion with sepsis following transurethral resection of prostate (TURP). CASE PRESENTATION: We report a 73-year-old male with benign prostatic hyperplasia who developed SVF expansion and postoperative sepsis following TURP. Emergency transverse colostomy achieved infection control, followed by successful laparoscopic sigmoidectomy during secondary surgery. CONCLUSION: This case highlights the need to remain vigilant for occult SVF risks during TURP procedures. Transverse colostomy should be prioritized as damage control surgery for fistula-related sepsis.

Source: BMC Urology

DOI: 10.1186/s12894-025-01894-5

Authors: Jinlin Xie, Yuguang Zhu, Weiming Liu, Jiarong Zeng, Siping Liu

Institution: Meizhou City People's Hospital

Language: English

Topic: Ureteral procedures and complications

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,990