title: [Four cases of spontaneous rupture of the urinary bladder].
abstract: Between November 1997 and March 2001, 4 female patients from 44 to 65 years of age with a spontaneous rupture of the urinary bladder were analyzed. They complained of abdominal pain and had undergone an intra-pelvic gynecological operation (3 for uterine cancer, 1 for an ovarian cyst) several years before. The three with uterine cancer had also received radiation therapy. For their present condition, spontaneous urinary bladder rupture, their treatment was indwelling a urethral catheter. Two of them have had no recurrence of urinary bladder rupture after one month since having the urethral catheter indwelt. One, however, had to have the catheter re-indwelt due to unsuccessful suturing of the urinary bladder wall. The fourth patient had bilateral nephrostomy tubes due to severe radiation cystitis. Thus, one can infer that intra-pelvic gynecological operations and radiation therapy are major factors causing spontaneous urinary bladder rupture. While indwelling a urethral catheter may be effective for some patients with a spontaneous rupture of the urinary bladder, it may be very difficult to treat more complicated cases.
authors.affiliation: Department of Urology, Nagoya Red Cross Hospital.
authors.forename: Toshiyasu
authors.initials: T
authors.lastname: Amano
authors.forename: Sotaro
authors.initials: S
authors.lastname: Miwa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Takashima
authors.forename: Katsuro
authors.initials: K
authors.lastname: Takemae
mesh_terms: D000328:Adult; D000368:Aged; D002408:Catheters, Indwelling; D003556:Cystitis / Q000150:complications; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D012422:Rupture, Spontaneous; D001745:Urinary Bladder Diseases / Q000209:etiology* / Q000628:therapy; D014546:Urinary Catheterization; D014594:Uterine Neoplasms / Q000532:radiotherapy