Traumatic Bladder Ruptures: A Ten-Year Review at a Level 1 Trauma Center.

Traumatic Bladder Ruptures: A Ten-Year Review at a Level 1 Trauma Center. Adv Urol. 2019;2019:2614586 Authors: Barnard J, Overholt T, Hajiran A, Crigger C, Jessop M, Knight J, Morley C Abstract Bladder rupture occurs in only 1.6% of blunt abdominopelvic trauma cases. Although rare, bladder rupture can result in significant morbidity if undiagnosed or inappropriately managed. AUA Urotrauma Guidelines suggest that urethral catheter drainage is a standard of care for both extraperitoneal and intraperitoneal bladder rupture regardless of the need for surgical repair. However, no specific guidance is given regarding the length of catheterization. The present study seeks to summarize contemporary management of bladder trauma at our tertiary care center, assess the impact of length of catheterization on bladder injuries and complications, and develop a protocol for management of bladder injuries from time of injury to catheter removal. A retrospective review was performed on 34,413 blunt trauma cases to identify traumatic bladder ruptures over the past 10 years (January 2008-January 2018) at our tertiary care facility. Patient data were collected including age, gender, BMI, mechanism of injury, and type of injury. The primary treatment modality (surgical repair vs. catheter drainage only), length of catheterization, and post-injury complications were also assessed. Review of our institutional trauma database identified 44 patients with blad...
Source: Advances in Urology - Category: Urology & Nephrology Tags: Adv Urol Source Type: research