RT Journal Article SR Electronic T1 Colovesical fistula in men with chronic urinary tract infection: A diagnostic challenge JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 165 OP 171 DO 10.3949/ccjm.90a.21060 VO 90 IS 3 A1 Risheng Xu A1 Austin Vaughan A1 Mitchell Fagan A1 Dylan P. Schumacher A1 Verra Wekullo A1 Bruce Gehrke YR 2023 UL http://www.ccjm.org/content/90/3/165.abstract AB Although uncommon, colovesical fistula creates significant morbidity, and many patients wait months to receive a correct diagnosis and treatment. Most cases are in older men who have diverticular disease, Crohn disease, cancer, or iatrogenic injury, and some of these associations may have occurred in the patient’s distant past and may not be immediately apparent. Since the incidence of diverticulitis in elderly patients is increasing and, in a separate trend, more patients are undergoing bladder instrumentation, we need to suspect this diagnosis when evaluating any patient with urinary tract infection, especially a man with prolonged symptoms refractory to conventional treatments.