A study on pattern and outcome of various methods of management of bladder injuries: A retrospective study
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 12
Abstract
Bladder injuries constitute one of the most common urological injuries involving the lower urinary tract.Purpose of this study is to provide a concise account of patterns of bladder injury in adult males and outcome of various methods of management which is paramount in reducing the short and long term complications. Retrospective reviews of 164 patients admitted with bladder injuries were enrolled. Cases were analyzed for etiology, methods of diagnosis, site of injury, immediate and delayed management and complications.Majority (72%) of bladder injuries were due to road traffic accidents. Retrograde filling CT cystogram was diagnostic of bladder injuries. Incidence of extra peritoneal bladder (EP) ruptures was more than that of intraperitoneal (IP) rupture. Pelvic fracture was observed in all cases of extraperitoneal ruptures but there was no correlation between the site of pelvic fracture and the site of bladder rupture. Persistent urinary leak observed in some cases of extraperitoneal bladder ruptures treated conservatively were due to early catheter removal. Bladder neck stricture was observed in cases of bladder injury with bladder neck involvement. Symptoms were seen more in intraperitonealand combined intraperitoneal- extra peritoneal rupture cases, but all of them subsided by six months after episode of trauma.Pattern of presentation of bladder injuries is diverse. First step in acute management of bladder injuries is to obtain drainage of the bladder. There is uniformity of opinion regarding management of bladder injury. Consensus of definitive management still remains a challenge. Keywords:Lower urinary tract injury, bladder injury, extra peritoneal bladder rupture, intraperitoneal bladder rupture.
Authors and Affiliations
Mujeeburahiman M, AvinashRai B, MuhammedManzoor A. P
Keywords
Related Articles
- EP ID EP372062
- DOI -
- Views 64
- Downloads 0
Spinal Nerve Contributions of the Ilioinguinal Nerve in Sudanese Subjects
Abstract:Proper anesthesia and knowledge of the anatomical location of ilioinguinal nerve is important during hernia repair and other surgical procedures. Surgical complications have also implicated this nerve, emphasizi...
A Study Evaluating the Incidence of Tubal Blockage in Infertility Patients and Comparison of Laparoscopic Chromopertubation with Hysterosalpingography and Sonosalpingography
Abstract: In India the incidence of tubal block secondary to pelvic inflammatory disease is high. Numerous methods have been described for assessment of Fallopian tube (FT) patency. Since Laparoscopic Chromopertubation (...
Radiologic Study of the Incidence of Ossification of the Manubriosternal Joint in Adult Nigerians
Abstract: The manubriosternal joint is a symphysis between the manubrium and the body of the sternum. The surfaces of the articulating bones have a hyaline cartilage with a fibro-cartilaginous disc between them. It is sa...
Uric Acid and Endothelial Dysfunction in Type 2 Diabetes Mellitus: A Biochemical Point of View
Abstract: Diabetes mellitus (DM) is one of the most common non-communicable diseases globally. Serum uric acid is a strong reducing agent and in humans, over half the antioxidant capacity of blood plasma comes from it. I...
Prevalence and the Associated Modifiable Risk Factors of Hypertension in the Geriatric Population in a Block of Dibrugarh District
Hypertension is emerging as a major public health problem in India. Although it can affect any age group, the elderly are at an increased risk of developing the disease because of decreased physiological reserves and cha...