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Related Experiment Video

Updated: Jul 27, 2026

Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models

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Published on: August 9, 2012

Extraperitoneal bladder rupture secondary to rectal impalement.

Y Tanuma¹, H Horita, M Kadono

¹Department of Urology, Hokkaido Saiseikai Otaru Hokusei Hospital, Otaru, Japan. tanumay@sapmed.ac.jp

International Journal of Urology : Official Journal of the Japanese Urological Association

|March 21, 2002

Summary

A rare impalement injury involving the urinary bladder and rectum was treated successfully. Surgical intervention and catheterization led to complete closure of the vesicorectal fistula.

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Area of Science:

Urology
Colorectal Surgery
Trauma Surgery

Background:

Impalement injuries to the urinary bladder and rectum are exceptionally rare.
This case highlights a penetrating injury to the pelvic organs via the internal femoral skin.
Diagnostic challenges in identifying such injuries are notable.

Observation:

A 45-year-old male presented with a penetrating injury from a steel bar.
Initial imaging (cystography, CT) did not reveal bladder rupture, despite gross hematuria.
Cystoscopy identified a posterior bladder wall wound, and colonoscopy revealed rectal injuries, including a vesicorectal fistula.

Findings:

A penetrating injury resulted in a vesicorectal fistula.
Diagnostic laparoscopy excluded intra-abdominal injuries.
Treatment involved transanal closure of fistulas and indwelling ureteral and urethral catheters.

Implications:

This case demonstrates successful management of a rare vesicorectal injury.
Endoscopic and minimally invasive techniques can be effective for diagnosing and treating such complex trauma.
Prompt and accurate diagnosis is crucial for optimal patient outcomes in penetrating pelvic injuries.