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Trauma of the bladder

S A Brosman, J G Paul

Surgery, Gynecology & Obstetrics

|October 1, 1976

Summary

This summary is machine-generated.

Bladder trauma, often from blunt force and linked to pelvic fractures, requires diagnosis via retrograde cystogram. Extraperitoneal ruptures may heal with catheter drainage, unlike intraperitoneal ruptures needing surgery.

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Area of Science:

Urology
Trauma Surgery
Diagnostic Imaging

Background:

Bladder trauma is a significant injury, frequently associated with pelvic fractures.
Understanding the patterns and outcomes of bladder injuries is crucial for effective patient management.

Purpose of the Study:

To review patient records and analyze the characteristics of bladder trauma.
To evaluate diagnostic methods and treatment outcomes for different types of bladder ruptures.

Main Methods:

Retrospective review of 98 patient records with bladder trauma.
Diagnosis confirmed using retrograde cystography.
Analysis of injury types (contusion, extraperitoneal/intraperitoneal rupture) and associated pelvic fractures.

Main Results:

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Eighty percent of bladder injuries resulted from blunt trauma, with 72% having associated pelvic fractures.
Contusion and extraperitoneal rupture were the most common injury types.
Half of extraperitoneal ruptures were managed non-operatively with catheter drainage.

Conclusions:

Retrograde cystogram is effective for diagnosing bladder trauma.
Treatment strategies vary based on rupture type, with non-operative management feasible for some extraperitoneal ruptures.
Bacterial cystitis is a potential complication of catheter drainage.