If a cystoscopy clear, can you still have a fistula. have spc and ileostomy, no large colon. constant uti's. nerve damage to bladder.

Unlikely: Neurogenic bladder poses one to chronic uti. The angle of the urethra also plays a role. Pyridium (phenazopyridine) may be necessary to preclude further risks of UTI and pyleonephritis. Further, colonoscopy or barium enema and ct abdomen/pelvis w/ both oral & IV contrast will provide more information regarding a potential fistula.

May not see: Bowel to bladder fistulas enterovesicular may not be seen by cystoscopy , other means have to be used , like contest ct s , performing fistulogram through distended bladder ( due to spc may not be possible ) type of bugs grown , etc speak to your doctor.