Feasibility of conservative management in penetrating bladder trauma
DOI:
https://doi.org/10.48193/revistamexicanadeurologa.v79i2.482Keywords:
Penetrating trauma, Bladder trauma, Bladder injury, Conservative management, Abdominal traumaAbstract
Penetrating bladder trauma rarely presents in an isolated manner, and statistically, is uncommon. It is a management challenge because it can be overlooked in the initial evaluation and its therapeutic approach is still being defined. In addition, it is the cause of complications, such as sepsis, infections, and fistulas, increasing the morbidity and mortality in patients that generally present with other concomitant injuries.
Trauma as the cause of disease is a public health problem in developing countries and occurs more frequently in young male adults, resulting in their disability.
As a rule, penetrating bladder injury of the intraperitoneal wall should be surgically repaired, but conservative management can be an option in a group of well-selected patients.
References
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30. Geng J-H, Chang H-C, Chung S-D, Chen P-H, Chiu B, Tsai C-Y, et al. Nonoperative treatment for intraperitoneal bladder rupture. Urological Science. 2014;25(2):70–2. [accessed 4 Jun 2019] Available from: http://www.sciencedirect.com/science/article/pii/S1879522613000730
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2. Alberdi F, García I, Atutxa L, Zabarte M. Epidemiología del trauma grave. Med Intensiva. 2014;38(9):580–8. [accessed 4 Jun 2019] Available from: http://www.medintensiva.org/es-epidemiologia-del-trauma-grave-articulo-S0210569114001806
3. McGeady JB, Breyer BN. Current Epidemiology of Genitourinary Trauma. Urologic Clinics. 2013;40(3):323–34. [accessed 4 Jun 2019] Available from: https://www.urologic.theclinics.com/article/S0094-0143(13)00034-7/abstract
4. Deibert CM, Spencer BA. The association between operative repair of bladder injury and improved survival: results from the National Trauma Data Bank. J Urol. 2011;186(1):151–5. doi: https://doi.org/10.1016/j.juro.2011.03.002
5. Johnsen NV, Dmochowski RR, Young JB, Guillamondegui OD. Epidemiology of Blunt Lower Urinary Tract Trauma With and Without Pelvic Fracture. Urology. 2017;102:234–9. doi: https://doi.org/10.1016/j.urology.2016.11.015
6. Oitchayomi A, Doerfler A. Tratamiento de los traumatismos de la vejiga. EMC - Urología. 2016;48(3):1–7. [accessed 4 Jun 2019] Available from: http://www.sciencedirect.com/science/article/pii/S1761331016794849
7. Pereira BM, Reis LO, Calderan TR, de Campos CC, Fraga GP. Penetrating Bladder Trauma: A High Risk Factor for Associated Rectal Injury. Adv Urol. 2014;2014. [accessed 4 Jun 2019] Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3910482/
8. Burkhard FC, Bosch JLHR, Cruz F, Lemack GE, Nambiar AK, Thiruchelvam N, et al. EAU Guidelines on Urinary Incontinence in adults. Arnhem: European Association of Urology; 2018. 99 p.
9. Cestare TP, Hill FC, Venkatesan K. Bladder Injury From Penetrating Trauma of the Inner Thigh. Urology Case Reports. 2015;3(6):226–9. [accessed 4 Jun 2019] Available from: http://www.sciencedirect.com/science/article/pii/S2214442015001345
10. Mendez LE. Iatrogenic injuries in gynecologic cancer surgery. Surg Clin North Am. 2001;81(4):897–923. doi: https://doi.org/10.1016/S0039-6109(05)70173-0
11. Levy B, De Guara J, Willson P, Soon Y, Kent A, Rockall T. Bladder injuries in emergency/expedited laparoscopic surgery in the absence of previous surgery: a case series. annals. 2012;94(3):e118–20. [accessed 4 Jun 2019] Available from: https://publishing.rcseng.ac.uk/doi/10.1308/003588412X13171221502149
12. Esparaz AM, Pearl JA, Herts BR, LeBlanc J, Kapoor B. Iatrogenic Urinary Tract Injuries: Etiology, Diagnosis, and Management. Semin intervent Radiol. 2015;32(02):195–208. [accessed 4 Jun 2019] Available from: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1549378
13. Armenakas NA, Pareek G, Fracchia JA. Iatrogenic bladder perforations: longterm followup of 65 patients. J Am Coll Surg. 2004;198(1):78–82. doi: https://doi.org/10.1016/j.jamcollsurg.2003.08.022
14. Rubio-Suárez JC. Complex Fractures of the Pelvic Rin. In: Complex Fractures of the Limbs: Diagnosis and Management. Springer International Publishing; 2014. p. 37–50.
15. Cordon BH, Fracchia JA, Armenakas NA. Iatrogenic nonendoscopic bladder injuries over 24 years: 127 cases at a single institution. Urology. 2014;84(1):222–6. doi: https://doi.org/10.1016/j.urology.2014.03.028
16. Bryk DJ, Zhao LC. Guideline of guidelines: a review of urological trauma guidelines. BJU Int. 2016;117(2):226–34. doi: https://doi.org/10.1111/bju.13040
17. Kitrey ND, Djakovic N, Gonsalves M, Kuehhas FE, Lumen N, Serafetinidis E, et al. EAU Guidelines on Urological Trauma. Arnhem: European Association of Urology; 2016. 66 p.
18. Morey AF, Brandes S, Dugi DD, Armstrong JH, Breyer BN, Broghammer JA, et al. Urotrauma: AUA guideline. J Urol. 2014;192(2):327–35. doi: https://doi.org/10.1016/j.juro.2014.05.004
19. Gomez RG, Ceballos L, Coburn M, Corriere JN, Dixon CM, Lobel B, et al. Consensus statement on bladder injuries. BJU Int. 2004;94(1):27–32. doi: https://doi.org/10.1111/j.1464-410X.2004.04896.x
20. Bjurlin MA, Fantus RJ, Mellett MM, Goble SM. Genitourinary injuries in pelvic fracture morbidity and mortality using the National Trauma Data Bank. J Trauma. 2009;67(5):1033–9. doi: https://doi.org/10.1097/TA.0b013e3181bb8d6c
21. Zinman LN, Vanni AJ. Surgical Management of Urologic Trauma and Iatrogenic Injuries. Surg Clin North Am. 2016;96(3):425–39. doi: https://doi.org/10.1016/j.suc.2016.02.002
22. Morgan DE, Nallamala LK, Kenney PJ, Mayo MS, Rue LW. CT cystography: radiographic and clinical predictors of bladder rupture. AJR Am J Roentgenol. 2000;174(1):89–95. doi: https://doi.org/10.2214/ajr.174.1.1740089
23. Corriere Jr. JN, Sandler CM. Bladder rupture from external trauma: diagnosis and management. World J Urol. 1999;17(2):84–9. [accessed 4 Jun 2019] Available from: https://doi.org/10.1007/s003450050111
24. Quagliano PV, Delair SM, Malhotra AK. Diagnosis of blunt bladder injury: A prospective comparative study of computed tomography cystography and conventional retrograde cystography. J Trauma. 2006;61(2):410–21; discussion 421-422. doi: https://doi.org/10.1097/01.ta.0000229940.36556.bf
25. Gross JA, Lehnert BE, Linnau KF, Voelzke BB, Sandstrom CK. Imaging of Urinary System Trauma. Radiol Clin North Am. 2015;53(4):773–88, ix. doi: https://doi.org/10.1016/j.rcl.2015.02.005
26. Vaccaro JP, Brody JM. CT Cystography in the Evaluation of Major Bladder Trauma. RadioGraphics. 2000;20(5):1373–81. [accessed 4 Jun 2019] Available from: https://pubs.rsna.org/doi/full/10.1148/radiographics.20.5.g00se111373
27. Zaid UB, Bayne DB, Harris CR, Alwaal A, McAninch JW, Breyer BN. Penetrating Trauma to the Ureter, Bladder, and Urethra. Curr Trauma Rep. 2015;1(2):119–24. [accessed 4 Jun 2019] Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4662570/
28. Lumen N, Kuehhas FE, Djakovic N, Kitrey ND, Serafetinidis E, Sharma DM, et al. Review of the current management of lower urinary tract injuries by the EAU Trauma Guidelines Panel. Eur Urol. 2015;67(5):925–9. doi: https://doi.org/10.1016/j.eururo.2014.12.035
29. Jaidane M, Hidoussi A, Gharbi M, Slama A, Hmida W, Sorba NB, et al. Nonoperative Treatment of Intraperitoneal Bladder Rupture: Is It Feasible? CUR. 2010;4(2):104–6. [accessed 4 Jun 2019] Available from: https://www.karger.com/Article/FullText/253423
30. Geng J-H, Chang H-C, Chung S-D, Chen P-H, Chiu B, Tsai C-Y, et al. Nonoperative treatment for intraperitoneal bladder rupture. Urological Science. 2014;25(2):70–2. [accessed 4 Jun 2019] Available from: http://www.sciencedirect.com/science/article/pii/S1879522613000730
31. Echeverría-García FE, García-Perdomo HA, Barney E. Complications in the management of bladder trauma in a third level hospital. Arch Esp Urol. 2014;67(4):297–302.
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2019-06-12
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