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Nonoperative management of bladder rupture from external trauma
Authors:A S Cass  C F Johnson  A U Khan  J K Matsuura  C J Godec
Affiliation:1. From the Department of Urology, St. Paul Ramsey Medical Center, St. Paul, USA;2. Division of Urology, Hennepin County Medical Center, Minneapolis, Minnesota, USA
Abstract:Nonoperative (catheter) management was used in 18 patients with extraperitoneal rupture of the bladder with limited extravasation of dye found by retrograde cystogram. Complications occurred in 4 of the 18 patients. A review of the literature shows a 20 to 25-per cent complication rate with nonoperative management of bladder rupture. However, with a small extraperitoneal rupture with limited extravasation, especially in a female, the nonoperative (catheter) management will give a satisfactory result.
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