Conservative management of an ileal neobladder-enteric fistula.

We present a case of an early ileal neobladder-enteric fistula after radical cystectomy with Studer pouch creation for muscle-invasive transitional cell carcinoma of the bladder. This patient was treated conservatively on an outpatient basis with prolonged catheter drainage, a low-residue diet, and oral antibiotics, with complete resolution by 8 weeks. The rationale for this approach in selected patients is discussed.