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Bladder Injuries...medical consulting

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In this page talks about ( Bladder Injuries...medical consulting ) It was sent to us on 05/08/2021 and was presented on 05/08/2021 and the last update on this page on 05/08/2021

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Treatment of Bladder Injuries













Catheterization to drain bladder




Sometimes surgery






Minor bladder injuries either bruises or select small tears (lacerations) may be treated by inserting a catheter into the urethra for 5 to 10 days. The catheter continuously drains urine so the bladder does not fill up which makes it easier for the bladder to heal.



For more extensive bladder injuries or any injury resulting in leakage of urine into the abdominal cavity surgery should be done to determine the extent of the injury and to repair all tears. The urine can then be more effectively drained from the bladder using one or rarely two catheters. The catheters are inserted through the urethra (a transurethral catheter) and/or directly into the bladder through the skin over the lower abdomen (a suprapubic catheter). These catheters are removed in 7 to 10 days or once the bladder has healed satisfactorily. If complications develop they must be treated.



When a bladder injury is recognized during a surgical procedure it should be treated at that time.


Diagnosis of Bladder Injuries













Cystography usually with computed tomography (CT) or standard x-rays






The diagnosis of a bladder injury is best established by cystography a procedure in which a radiopaque contrast agent a liquid that is visible on x-rays is injected into the bladder and CT or standard x-rays are used to look for leakage (see Imaging Tests of the Urinary Tract). Bladder injuries that occur during a surgical procedure are usually recognized promptly at the time of surgery and imaging tests of the bladder are not needed.


Symptoms of Bladder Injuries











The most common symptoms of a bladder injury are visible blood in the urine difficulty in urinating and pain in the pelvis and lower abdomen or during urination. If the lowermost portion of the bladder (where the muscle that helps to control urination is located) has been injured the person may experience frequent urination or urinary incontinence.


simple explanation



A bladder injury often occurs when the pelvis is injured as in a high-speed motor vehicle crash or a fall. Penetrating wounds usually resulting from gunshots can rarely injure the bladder. In addition a bladder injury may occur unintentionally during surgery involving the lower abdomen or pelvis (such as removal of the uterus [hysterectomy] cesarean delivery or removal of the colon [colectomy]).


(See Overview of Urinary Tract and Genital Injury.)


If bladder injuries are not promptly treated complications such as the following may develop:


Frequent and urgent urination


Uncontrollable loss of urine (urinary incontinence)


Persistent bleeding in the urine (hematuria)


Leakage of urine from the urinary tract into surrounding tissues


Infection


Abnormal opening between the bladder and an internal organ such as the vagina colon or ureter (fistula)


The most common symptoms of a bladder injury are visible blood in the urine difficulty in urinating and pain in the pelvis and lower abdomen or during urination. If the lowermost portion of the bladder (where the muscle that helps to control urination is located) has been injured the person may experience frequent urination or urinary incontinence.


Cystography usually with computed tomography (CT) or standard x-rays


The diagnosis of a bladder injury is best established by cystography a procedure in which a radiopaque contrast agent a liquid that is visible on x-rays is injected into the bladder and CT or standard x-rays are used to look for leakage (see Imaging Tests of the Urinary Tract). Bladder injuries that occur during a surgical procedure are usually recognized promptly at the time of surgery and imaging tests of the bladder are not needed.


Catheterization to drain bladder


Sometimes surgery


Minor bladder injuries either bruises or select small tears (lacerations) may be treated by inserting a catheter into the urethra for 5 to 10 days. The catheter continuously drains urine so the bladder does not fill up which makes it easier for the bladder to heal.


For more extensive bladder injuries or any injury resulting in leakage of urine into the abdominal cavity surgery should be done to determine the extent of the injury and to repair all tears. The urine can then be more effectively drained from the bladder using one or rarely two catheters. The catheters are inserted through the urethra (a transurethral catheter) and/or directly into the bladder through the skin over the lower abdomen (a suprapubic catheter). These catheters are removed in 7 to 10 days or once the bladder has healed satisfactorily. If complications develop they must be treated.


When a bladder injury is recognized during a surgical procedure it should be treated at that time.
  • The Author: wikbe
 
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