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Bladder Trauma Management Algorithm

This document outlines an algorithm for evaluating and treating bladder trauma based on history, physical exam, laboratory and radiologic findings. It distinguishes between intraperitoneal and extraperitoneal bladder injuries, with intraperitoneal injuries generally requiring surgical intervention and extraperitoneal often treated initially with catheter drainage or surgery if other injuries are present. Follow up involves repeated cystography to check for leakage.

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yulianpatriawan
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13 views1 page

Bladder Trauma Management Algorithm

This document outlines an algorithm for evaluating and treating bladder trauma based on history, physical exam, laboratory and radiologic findings. It distinguishes between intraperitoneal and extraperitoneal bladder injuries, with intraperitoneal injuries generally requiring surgical intervention and extraperitoneal often treated initially with catheter drainage or surgery if other injuries are present. Follow up involves repeated cystography to check for leakage.

Uploaded by

yulianpatriawan
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

BLADDER TRAUMA ALGORITHM

History Taking Physical Exam Laboratory Finding


Hematuria Suprapubic tenderness Hematuria
Suprapubic pain Hematuria

Radiologic Finding
Cystography

Intraperitoneal : Extraperitoneal :
Surgical Intervention Catheter drainage
Surgical Intervention if :
Follow Up Bone fragment to bladder
Cystography at 10-14 days Open Pelvic Fracture
Rectal Perforation
Leakage Laparotomy Exploration
Yes -> Repeated at 21 days
No -> Catheter Removal

References :
Santucci, McAninch. Bladder Injuries : Evaluation and Management. Brazilian
Journal Urology. 2000.
Summerton, et al. Urogenital Trauma : Bladder Trauma European Association
Guidelines. 2016.
Jurkovich G, et al. Acute Care Surgery : Bladder Trauma, p405-407. Wolters
Kluwer Health. 2012

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