lower urinary tract trauma dr charles chabert. bladder trauma epidemiology 1.6% blunt abdo trauma...
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Bladder TraumaEpidemiology
1.6% blunt abdo trauma
90% associated with pelvic #
6% pelvic # have bladder injury
Combined urethra & bladder 15%
BJU Int 2004, Vol 94, 27-32
Bladder Trauma
Contusion
Intraperitoneal
Rupture at dome
Blunt trauma to distended bladder
Extraperitoneal
Pelvic fractureBJU Int 2004, Vol 94, 27-32
Bladder TraumaManagement
Cystogram / CT Cysto
Intraperitoneal
Surgical Closure
Extraperitoneal
Catheter Drainage
BJU Int 2004, Vol 94, 27-32
Bladder TraumaManagement
Cystogram / CT Cysto
Intraperitoneal
Surgical Closure
Extraperitoneal
Catheter Drainage
BJU Int 2004, Vol 94, 27-32
Posterior Urethra Injuries
3-25% pelvic #
27% other injuries
Rare in female
Short, mobile lacks attachments
Female 0-0.6%
Posterior Urethra Injuries
Pelvic #
Gunshot wounds
Stab Wounds
Iatrogenic
Contusion
Partial
Complete with disruption
Evaluation
Retrograde Urethrogram
Posterior urethral Injury
PartialComplete
IDCSPC
Primary realignment
SPC
Evaluation
Retrograde Urethrogram
Posterior urethral Injury
Partial
Complete
IDCSPC
Primary realignment
SPC
Penile fracture
Corporal #
Sexual intercourse related
Cracking sound
Rapid detumescence
BJU Int 94;507-515
Penile fracture
Clinical diagnosis
Eggplant sign
Meatal blood
Surgical explorationBJU Int 94;507-515
Scrotal Trauma
85% blunt trauma
15% penetrating
Associated injuries with penetrating trauma 80%
BJU Int 2004, 94; 507-515
Scrotal TraumaManagementPenetrating / Blunt
Scrotal Ultrasound
Tunica intact Suspected rupture
Supportive care Surgery
BJU Int 2004, 94; 507-515