Nonoperative management of bladder rupture from external trauma |
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Authors: | A S Cass C F Johnson A U Khan J K Matsuura C J Godec |
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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 |
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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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