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Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
Published on: August 9, 2012
Urinary bladder rupture during voiding cystourethrography.
Kyong Ok Lee1, Se Jin Park, Jae Il Shin
1Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Korean Journal of Pediatrics
|June 7, 2012
Summary
Voiding cystourethrography (VCUG) rarely causes bladder rupture, even in healthy children. Careful instillation technique is crucial to prevent this uncommon iatrogenic complication during the diagnostic procedure.
Area of Science:
- Pediatric Urology
- Diagnostic Imaging
- Surgical Complications
Background:
- Voiding cystourethrography (VCUG) is a standard diagnostic tool for pediatric urinary tract issues.
- Complications from VCUG are infrequent, but bladder rupture is a rare iatrogenic event.
- Bladder rupture during VCUG is more typically seen in patients with chronic bladder dysfunction.
Purpose of the Study:
- To report a rare case of bladder rupture during VCUG in a healthy infant.
- To highlight the importance of procedural factors in preventing bladder rupture.
- To discuss the management of this uncommon complication.
Main Methods:
- Case presentation of a 9-month-old infant experiencing bladder rupture during VCUG.
- Review of factors contributing to iatrogenic bladder injury.
- Surgical intervention and postoperative cystography for confirmation of healing.
Main Results:
- A healthy infant developed bladder rupture due to high-pressure contrast media instillation during VCUG.
- The rupture healed completely within 7 days post-operation.
- Postoperative cystography confirmed successful healing.
Conclusions:
- Bladder rupture during VCUG is a rare but serious complication.
- Patient factors (bladder volume, underlying disease) and procedural variables (instillation pressure, catheter size) are critical for prevention.
- Surgical management is typically indicated for bladder rupture in infants.
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