A Clinical Observations on Bladder Rupture

Chung, Young Gon

Abstract

A clinical observation was made on patients of bladder rupture who were admitted to the Department of Urology, Chonnam University Medical School during the period from January, 1978 to June, 1982. The results are as followings: 1. Of 128 cases of genitourinary injury, there were bladder rupture in 32 cases, giving a rate of 24.2%. 2. The age group from third to fifth decade was the most favorable in age incidence, showing 59.4% of the total patients. 3. Traffic accident was the most frequent cause of the injury, observed in 9 cases (28.1% of all patients). Alcohol drinking was suggested to be related to the injury in 7 cases (21.9% of all patients). 4. Occurrence of intraperitoneal ruptures was three times more then that of extraperitoneal ruptures. 5. Retrograde cystography was the most useful and reliable method for diagnosis of bladder rupture, but there were falsely negative cystograms in two cases. 6. There were two cases with simultaneous bladder rupture and disruption of the posterior urethra, in which cases making diagnosis as bladder rupture was difficult without exploration. 7. Immediate vesical repair and indwelling urethral catheter, with or without suprapubic cystostomy, were performed in almost all patients, except two cases who were only managed with indwelling urethral catheter. 8. While we had four cases of intraperitoneal rupture with complication we couldn't find any complications in cases of extraperitoneal rupture.