Evaluating the Role of Operative Repair of Extraperitoneal Bladder Rupture Following Blunt Pelvic Trauma

The Journal of Urology
Niels V JohnsenRoger R Dmochowski

Abstract

Catheter drainage has become a standard management strategy for extraperitoneal bladder rupture from blunt trauma. However, data are lacking critically comparing outcomes between operative and nonoperative management. In this study we evaluate management strategies and identify risk factors for complications. Patients with uncomplicated extraperitoneal bladder rupture due to blunt trauma from 2000 to 2014 were identified from our trauma registry. Initial management consisted of early cystorrhaphy or catheter drainage. Outcomes analyzed were incidence of inpatient complications, length of stay and time to negative cystography. Subgroup analysis was performed comparing outcomes between patients who did vs did not undergo cystorrhaphy during nonurological operative intervention. A total of 56 patients treated with catheter drainage and 24 who underwent early cystorrhaphy were identified. All early cystorrhaphies were performed as secondary procedures during nonurological interventions. There was no difference in demographics, complications, median intensive care unit or median hospital length of stay between the groups. Subgroup analysis comparing patients who did vs did not undergo cystorrhaphy during nonurological operative inte...Continue Reading

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Citations

Jan 4, 2017·Urology·Niels V JohnsenOscar D Guillamondegui
Dec 27, 2017·JBJS Reviews·Eliza LaminSteven F DeFroda
Nov 30, 2018·The Journal of Trauma and Acute Care Surgery·Lawrence L YeungPhilipp Dahm
Nov 5, 2019·International Urology and Nephrology·Michael ErnstWeidun Alan Guo
Jul 22, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·B PhillipsJ A Asensio
Nov 18, 2020·Journal of Endourology·Abdullatif AydınKamran Ahmed

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