[Four cases of spontaneous rupture of the urinary bladder].
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.
Amano
Toshiyasu
T
Department of Urology, Nagoya Red Cross Hospital.
Miwa
Sotaro
S
Takashima
Hiroshi
H
Takemae
Katsuro
K
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