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Related Experiment Videos

Management of extraperitoneal bladder rupture.

J N Corriere1, C M Sandler

  • 1Department of Surgery, University of Texas Medical School, Houston.

The Urologic Clinics of North America
|May 1, 1989
PubMed
Summary

Extraperitoneal bladder ruptures from blunt trauma, often linked to pelvic fractures, can be effectively treated with catheter drainage alone. Most ruptures heal within three weeks, demonstrating a successful conservative management approach.

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Area of Science:

  • Urology
  • Trauma Surgery
  • Radiology

Background:

  • Extraperitoneal bladder ruptures are frequently associated with pelvic fractures (95%).
  • Diagnosis relies on imaging, with static cystography being definitive.

Purpose of the Study:

  • To evaluate the efficacy of conservative management for extraperitoneal bladder ruptures.
  • To assess the healing time and success rate of catheter drainage alone.

Main Methods:

  • Retrospective review of 41 patients with extraperitoneal bladder ruptures.
  • Treatment involved catheter drainage without surgical intervention.
  • Diagnosis confirmed via static cystography.

Main Results:

  • Successful treatment outcomes were achieved in all 41 patients using catheter drainage alone.
  • Significant urinary extravasation was managed effectively.
  • 87% of ruptures healed within 10 days, with near-complete healing in 3 weeks.

Conclusions:

  • Catheter drainage is a highly effective treatment for extraperitoneal bladder ruptures.
  • Conservative management is successful even with extensive urinary extravasation.
  • Prompt healing observed, supporting non-operative approaches.

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