Clinical Observation on Bladder Rupture

Kwon, Kil Sung; Kim, Su Kil

Abstract

A clinical observation was made on 26 cases of bladder rupture (16 patient had intraperitoneal rupture and 10 patient had extraperitoneal rupture) in the Department of Urology, Catholic Medical College from Jan. 1972 to Feb. 1981. The following results were obtained: 1. The bladder rupture was 26 cases (12.0%) of 217 urogenital injuries. 2. The 26 patient comprised 20 males and 6 female cases. Nine patients were belong to the age group of 31 to 40 years old, 8 Cases were 41 to 50 years old and 5 cases were 21 to 30 years old. 3. Traffic accidents were responsible for the injury in 10 patients, direct blow in 6 patients, industrial accidents in 5 patients and spontaneous bladder ruptures were seen in 2 patients. 4. The major clinical manifestations of bladder rupture were hematuria (20 patients, 76.9%) and abdominal pain and distension(12 patients, 46.2%). 5. Of the 26 patients, 15 had associated fractured pelvis, 7 had fractured extremity, 6 had urethral rupture, 3 had intestinal injury and 3 had skull fracture. 6. Diagnosis was made by retrograde cystography, laparatomy and cystoscopy. Twenty cases (76.9%) was diagnosed by retrograde cystography. 7. Four patients with intraperitoneal rupture and 6 patients with extraperitoneal rupture were treated by operative repair Of the defect with suprapubic cystostomy and drainage of the perivesical space. Twelve patients with intraperitoneal rupture and 2 patients with extraperitoneal rupture were treated by operative repair of the defect with indwelling urethral catheter and drainage of the perivesical space. The remaining 2 patients of extraperitoneal bladder rupture were treated by indwelling urethral catheter for7 to 10 days. 8. There was a 7.7% mortality rate.