Nonoperative Management of Extraperitoneal Bladder Rupture.
- Author:
Hee Chul KIM
1
;
Joong Ho SHIN
;
Nam Kyu LEE
Author Information
1. Department of Urology, College of Medicine, SoonChunHyang University, ChunAnn, Korea.
- Publication Type:Original Article
- Keywords:
Bladder rupture Extraperitoneal;
urethral catheter
- MeSH:
Catheters;
Drainage;
Humans;
Rupture*;
Urinary Bladder*;
Urinary Catheters
- From:Korean Journal of Urology
1994;35(10):1133-1136
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
During last two year and seven month, We have seen 38 patients bladder rupture due to 34 blunt trauma, 2 penetrating injuries and 2 iatrogenic causes. There were 13(34.2%) intraperitoneal and 25(65.8%) extraperitoneal injuries. Nonoperative( catheter ) management was used in 21 patients with extraperitoneal rupture of the bladder with extravasation of dye found by retrograde cystogram and successfully treated by urethral catheter drainage only. We excluded 4 patients coexisting urethral rupture and significant intraabdominal injury. Complication occurred in 8 of the 2l patients but all were treated spontaneously during catheter drainage. It seemed obvious that nonoperative management will give a satisfactory result and would not be necessarily benefit from an operation to closing the bladder.
