Published online Mar 31, 2007.
https://doi.org/10.4111/kju.2007.48.3.327
Comparison of Clinical Characteristics between Intraperitoneal and Extraperitoneal Bladder Rupture
Abstract
Purpose
To compare the clinical characteristics between intraperitoneal and extraperitoneal bladder ruptures.
Materials and Methods
58 patients with a bladder rupture were divided into group A (34 intraperitoneal rupture) and group B (24 extraperitoneal rupture). The medical records and radiological findings were retrospectively reviewed.
Results
The follow up period in all patients was 5.8±4.5 months (1-20 months). The male to female ratios and the mean ages in groups A and B were 14:3, 17:7 and 43.9±14.2, 46.4±14.8 years, respectively (p>0.05), with the peak incidence being in the fifth and sixth decades. There were no statistical differences in the urologic symptoms and signs between groups A and B. The common cause of injuries in groups A and B were direct blow (41.3%) and out-car traffic accident (54.1%), respectively (p<0.05). The main associated injuries in groups A and B were pelvic bone fractures or intestinal injuries and pelvic bone fractures, respectively. The treatment modalities were an operation in 32 (94.1%) in group A; all group B cases were conservatively managed. The durations of catheter indwelling were 17.0±9.4 and 22.7±10.9 days in groups A and B, respectively (p<0.05).
Conclusions
The bladder rupture occurred commonly in the fifth and sixth decades, especially in males. The most frequent causes of intraperitoneal and extraperitoneal ruptures were a direct blow and a traffic accident, respectively. Pelvic bone fractures were the most common associated injury, especially with extraperitoneal ruptures. In contrast to an extraperitoneal rupture, most intraperitoneal ruptures were managed by operative methods. The duration of catheter indwelling was significantly shorter with intraperitoneal than extraperitoneal ruptures.
Table 1
Age and sex distribution
Table 2
Symptoms and signs of the bladder rupture
Table 3
Causes of the bladder rupture
Table 4
Associated bladder rupture injuries
Table 5
Treatments for the bladder rupture
References
-
Chung YG. A clinical observations on bladder rupture. Korean J Urol 1982;23:1155–1159.
-
-
Jack W. Genitourinary trauma. In: Walsh PC, Retik AB, Vaughan ED Jr, Wein AJ, editors. Campbell's urology. 8th ed. Philadelphia: Saunders; 1998. pp. 3721-3725.
-
-
Cass AS. Bladder trauma in the multiple injured patient. J Urol 1976;115:667–669.
-
-
Kwon KS, Kim SK. Clinical observation on bladder rupture. Korean J Urol 1982;23:933–936.
-
-
Lee JB, Choi YC, Moon JC, Cho SP. Bladder trauma: is the clinical significance of intraperitoneal and extraperitoneal rupture is not different? J Korean Soc Traumatol 1997;10:254–259.
-
-
Belis JA, Recht KA, Milam DF. Simultaneous traumatic bladder perforation and disruption of the prostatomembranous urethra. J Urol 1979;122:412–414.
-
-
Kim HC, Shin JH, Lee NK. Nonoperative management of extraperitoneal bladder rupture. Korean J Urol 1994;35:1133–1136.
-
-
Carroll PR, McAninch JW. Major bladder trauma: mechanisms of injury and a unified method of diagnosis and repair. J Urol 1984;132:254–257.
-
-
Reiser C, Nicholas E. Rupture of the bladder: unusual features. J Urol 1963;90:53–57.
-
Cited by
MeSH Terms
Tables
1 / 5
