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Summary
Bladder trauma often accompanies severe pelvic fractures. Retrograde cystography is recommended for diagnosing bladder injuries, with nonoperative management showing potential complications.
Area of Science:
- Traumatology
- Urology
- Radiology
Background:
- Bladder trauma from external force is linked to significant mortality.
- Pelvic bone fractures are the most common associated injury in bladder trauma patients.
Purpose of the Study:
- To analyze the types of bladder injuries and associated injuries.
- To evaluate diagnostic methods and management outcomes for bladder trauma.
Main Methods:
- Retrospective analysis of 417 patients with bladder trauma.
- Radiologic evaluation using retrograde cystography with 400 ml dye.
- Assessment of nonoperative management for extraperitoneal rupture.
Main Results:
- 83% of patients had associated pelvic fractures.
- Bladder contusion (67%), intraperitoneal rupture (13%), extraperitoneal rupture (18%), and combined rupture (2%) were observed.
- Nonoperative management of extraperitoneal rupture in 18 patients led to complications in 4.
Conclusions:
- Retrograde cystography is crucial for diagnosing bladder trauma.
- Nonoperative management of extraperitoneal bladder rupture requires careful monitoring due to potential complications.