Related Experiment Video
Updated: Jul 25, 2026
10:19
Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
Published on: August 9, 2012
[Spontaneous urinary bladder perforation after pediatric cystoplasty].
M L Martínez del Castillo1, C Miguélez Lago, M García Mérida
1Cirugia Pediátrica, Hospital Materno-Infantil, del Hospital Regional Universitario Carlos Haya, Málaga.
Actas Urologicas Espanolas
|December 16, 2005
Summary
Spontaneous bladder augmentation (cystoplasty) perforation occurred in 16.6% of patients, often due to high urethral resistance and inadequate catheterization. Early diagnosis and awareness of symptoms are crucial for prevention and timely treatment.
Area of Science:
- Urology
- Pediatric Surgery
Context:
- Spontaneous bladder augmentation (cystoplasty) perforation is a rare but serious complication.
- Delayed diagnosis and treatment can lead to severe outcomes.
Purpose:
- To analyze risk factors for spontaneous bladder augmentation perforation.
- To identify key diagnostic signs.
- To evaluate treatment outcomes.
Summary:
- This study reviewed 5 children with cystoplasty who experienced 8 perforations (16.6%). Key risk factors identified were high urethral resistance and insufficient intermittent catheterization.
- Abdominal pain and distension were common symptoms. Ultrasonography and cystography aided in diagnosis, with varying rates of detecting intraperitoneal extravasation.
- Initial conservative management was successful in 42.8% of cases diagnosed pre-operatively, while others required surgery. Relapses occurred in 40% of patients.
Impact:
- Highlights the significant incidence of spontaneous bladder augmentation perforation in this cohort.
- Emphasizes the importance of recognizing risk factors like urethral resistance and catheterization adequacy.
- Underscores the need for patient and family education regarding this complication for early detection and improved outcomes.
Related Concept Videos
01:23Urinary Bladder
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
01:22Esophageal Perforation-I: Introduction
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
01:26Kidney Transplant II: Surgical Procedure
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
01:22Imaging Studies VI: Voiding Cystourethrography and Cystography
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...