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A case of spontaneous bladder rupture successfully conservatively treated with transurethral debridement and
Heisuke Iijima1, Rikuri Someya1, Eriko Tanaka1
1Department of Urology Shizuoka General Hospital Shizuoka Japan.
Introduction:
Spontaneous bladder rupture is a potentially life-threatening condition. Its treatment often requires invasive strategies, mainly surgical closure, or cystectomy. We present a case where we successfully treated bladder rupture employing a less invasive technique of transurethral debridement and hyperbaric oxygen therapy.
Case Presentation:
A woman in her 80s presenting with lower abdominal pain was suspected of vesicoenteric fistula. Subsequent investigations confirmed bladder rupture to the abdominal wall, which eventually developed into a vesicocutaneous fistula. To minimize the invasiveness of treatment, a combined strategy of transurethral debridement of the fistula, and hyperbaric oxygen therapy was taken, resulting in successful outcome.
Conclusion:
Our approach was unique for its tolerability in comparison to conventional surgical approaches taken towards this condition.
