A SURVEY OF URINARY BLADDER INJURIES IN ABBOTTABAD
AbstractBackground: 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
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.
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.