[Clinical study of bladder injury].
Since bladder injury has no specific clinical symptoms, accurate diagnosis at first consultation is relatively difficult. To elucidate the clinical characters type of injury, clinical symptoms, laboratory findings, methods of therapy and diagnosis, we reviewed 15 patients with bladder injury over a 9-year-period 1990-1998 (10 were traumatic injuries and 5 spontaneous injuries). We found no specific clinical symptom of bladder injury. Bladder injury may occur anywhere in the bladder wall, but most commonly occurred at the dome of the bladder (60.0%). Gross hematuria was not seen in 40.0% of the cases. The accuracy of diagnosis at first consultation was relatively low (46.7%) and the tendency to make a misdiagnosis as acute abdomen on digestive organs was found. Of the traumatic injuries 60% were afflicted in the drunken state, so alcohol intoxication was considered as an important enviromental factor of bladder injury. Surgical repair of injury sites was employed in 11 cases (73.3%: 7 were intraperitoneal injuries, 4 were extraperitoneal injuries), 4 cases were managed with indwelling urethral catheter. With appropriate treatment, the prognosis is excellent.
Abe
Kazuhiro
K
Department of Urology, Tokyo Jikei University School of Medicine.
Oishi
Yukihiko
Y
Onodera
Syoichi
S
Ikemoto
Isao
I
Kiyota
Hiroshi
H
Asano
Koji
K
Ueda
Masataka
M
Wada
Tetsuro
T
Tashiro
Kazuya
K
D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006417:Hematuria / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011832:Radiation Injuries / Q000150:complications; D012421:Rupture; D012422:Rupture, Spontaneous; D014401:Tuberculosis, Urogenital / Q000150:complications; D001743:Urinary Bladder / Q000293:injuries*; D001745:Urinary Bladder Diseases / Q000209:etiology*