Korean J Urol.  2011 Feb;52(2):150-153.

Bladder Reconstruction Using Bovine Pericardium in a Case of Enterovesical Fistula

• Moon SJ
• Kim DH
• Jo JK
• Chung JH
• Lee JY
• Park SY
• Kim YT
• Park HK
• Choi HY
• Moon HS

Abstract

The use of graft materials in bladder mucosa has been examined in animal models, but debate exists over which materials are effective. Intestine has been used as a substitute in augmentation cystoplasty for patients with neuropathic bladder, but serious adverse effects of the operation have occurred in some instances. We report a case of a successful repair of an enterovesical fistula by use of bovine pericardium. The patient has remained well for 2.5 years. We suggest that bovine pericardium may be a suitable option as a bladder substitute.

Keyword

Pericardium; Radiation injuries; Urinary bladder fistula

MeSH Terms

Fistula
Humans
Intestines
Models, Animal
Mucous Membrane
Pericardium
Radiation Injuries
Transplants
Urinary Bladder
Urinary Bladder Fistula
Urinary Bladder, Neurogenic

Figure

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  FIG. 1 Cystography revealed a fistula tract between the contracted urinary bladder and the terminal ileum.

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  FIG. 2 The operative field. (A) The bladder wall defect at the dome site. (B) Closure of the bladder wall defect with bovine pericardium (BP).

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  FIG. 3 Cystoscopy performed 2.5 years postoperatively. The bladder wall replaced with bovine pericardium (arrow) was observed to be relatively white with a coarse pattern.

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