The following is an excerpt....
BASICS
Description
- Bladder injury can be the result of:
- Blunt or penetrating trauma
- Bladder rupture secondary to a full bladder or blunt injury
- Surgical complication (iatrogenic injury)
- Classified as either intraperitoneal or extraperitoneal rupture
- Bladder contusion is injury to the mucosa or muscularis without full-thickness loss; without urine extravasation
- Often associated with ureter/urethral injury and/or other non-urological injuries
Epidemiology
Incidence
- ~0.5% of civilian trauma patients (1)
- 12% of civilian injuries in Iraq, mostly due to gunshot wounds (2)
- Blunt trauma with bladder injury is associated with other injuries 94% of the time (3); pelvic fracture being the most common followed by lower abdominal impact in the presence of a full bladder (4).
- During pelvic surgery ...
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