A SURVEY OF URINARY BLADDER INJURIES IN ABBOTTABAD

Raza Muhammad Khan, Muhammad Nawaz, Nabeela Raza, Noreen Sultan

Abstract


Background: Injury of urinary bladder is not very uncommon. It has iatrogenic and non iatrogenic causes. This study was designed to determine the pattern, mode of diagnosis and management of urinary bladder injuries presenting at Ayub Teaching Hospital, Abbottabad. Methods: Ten years hospital record of urinary bladder injuries reporting at Urology, Surgical and Gynaecology wards of Ayub Teaching Hospital, Abbottabad was analysed. The cause of injury, associated injuries, diagnostic method and management protocols were analyzed. Results: During 10 years period 260 patients were treated for bladder injuries. The age range was from 5-75 years while there were more males than females. In 35% the injuries were due to RTA, in 20% by a fall from a height, in 10% by a gun shot wound and in the remaining 35% the injury was iatrogenic. Gynaecological procedures were the major cause for iatrogenic bladder injuries. Conclusions: Most of the bladder injuries seen at our hospital are due to road traffic accidents or iatrogenic causes. Both of these factors can be minimized by taking appropriate steps to improve road safety and operative procedure safety respectively.

Keywords: Urinary Bladder, Injury, etiology, management, diagnosis


References


Gambini D, Caputo P, Zuccon W, Faccini M, Lavezzoli A, Bonandrini L. Rupture of the urinary bladder caused by trivial trauma. Case report. Minerva Chir 2001;56(6):649-53.

Brosman SA, Paul JG. Trauma of the bladder. Surg Gynaecol Obstet 1976;143: 605-8.

Blandy JP, Badevoch DF, Fowler CG, Jenkins BJ, Thomas NW. Early repair of iatrogenic injury to ureter and bladder after Gynaecological surgery. J Urol 1991; 146:761-5.

Lee CL, Lai YM, Soong YK. Management of urinary bladder injuries in laparoscopic assisted vaginal hysterectomy. Acta Obstet Gynecol Scand. 1996;75(2):174-7.

Matijevic M, Kukoc M, Vidjak V, Kostiov D, Grandic L, Radonic V, et al. Injuries of the urinary bladder. Acta Chir Iugosl 1989;36 Suppl 1:120-3.

Can AS. The multiple injured patient with bladder trauma. J Trauma Injury Infection Crit Care 1984; 24:734-4.

Morehouse DD. Injuries to the urethra and urinary bladder associated with fractures of the pelvis. Can J Surg 1988;31(2):85-8.

Steiner Z, Mogilner G, Eldar S. Combined penetrating trauma of the rectum and urinary bladder. Harefuah 1995;128(5):276-8, 335.

Thomae KR, Kilambi NK, Poole GV. Method of urinary diversion in nonurethral traumatic bladder injuries: retrospective analysis of 70 cases. Am Surg 1998;64(1):77-80.

Cornere JN Jr, Saudler CU. Management of the ruptured bladder; 7 years of experience with 111 cases. J Trauma 1986;26: 830-6.

De Matos S, Coutinlio AM, Rosa G, Nerves J. Injuries to the urinary tract. Acta Med Portuguese 1999;12:49-56.

Dobrowolski ZF, Lipczynski W, Drewniak T, Jakubik P, Kusionowicz J. External and iatrogenic trauma of the urinary bladder: a survey in Poland. BJU Int 2002;89(7):755-6.


Refbacks

  • There are currently no refbacks.


Contact Number: +92-992-382571

email: [jamc] [@] [ayubmed.edu.pk]