DOI: 10.36347/sjams.2016.v04i12.028

Pages: 4321-4324

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 intraperitoneal and 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.