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Treatment

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Any abscess should be drained.

Surgery, if necessary, is dictated by the underlying cause:

  • diverticulitis - bluntly dissect the colon from the bladder, resect it, and perform a primary anastomosis. If resection is not possible, consider a Hartmann's procedure.

  • carcinoma - treat with care to ensure that tumour cells do not spill into the pelvis. Remove a disk of bladder wall in continuity with the colon, close the bladder, and catheterise for 7-10 days.

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