Clinical Observation on Bladder Rupture

Jo, Choong Hwan; Kim, Tae Gon

Abstract

A clinical observation was made on 29 cases of bladder rupture who were admitted to the Department of Urology, In Je Medical College Paik Hospital in Pusan during the period from June, 1979 to August, 1983. The results are as followings; 1. Of 133 cases of genitourinary tract injury, bladder rupture were 29 cases (21.7%), there composed intraperitoneal bladder rupture 19 cases, extraperitoneal bladder rupture 10 cases. 2. The 29 cases Comprised 19 males and 10 females (male:female=l.9:1). The most prevalent age group of bladder rupture was 20 to 29 years, showing 13 cases of the total cases (44.8%). 3. The causes of bladder rupture were traffic accident observed in 11 cases (37.9%), direct blow 7 cases (24.1%), iatrogenic 4 cases (13.8%), stab wound 3 cases (10.3%) and spontaneous bladder rupture was seen in 1 case (3.5%). 4. The common symptoms and signs of bladder rupture were abdominal pain, lower abdominal distension and gross hematuria, so on. 5. The common associated injuries with bladder rupture were pelvic bone fracture 10 cases (34.5), Cerebral contusion 7 cases (24.1%), rib fracture 4 cases (13.8%), rupture of posterior urethra 3 cases (10.3%), so on. 6. The retrograde cystography was the most likely to accurately diagnose a ruptured bladder, but 1 case was revealed false negative cystograms because of the large hematoma within the pelvic cavity. 7. In all cases, immediate bladder repair and indwelling urethral catheter, with or without suprapubic cystostomy were performed. 8. We experienced postoperative complications such as, voiding difficulty, vesicocutaneous fistula and epididymo-orchitis, etc.