title: Bladder perforation associated with hot tub.
abstract: BACKGROUND
  Bladder perforation is a rare and life-threatening event. Timely diagnosis may prevent further injury-related morbidity and mortality. Aim.  To present a case of bladder injury associated with masturbation in a hot tub.
  
  
  METHODS
  This report describes a case of bladder perforation in a 54-year-old female who presented to the emergency department 2 days after masturbation with a water jet.
  
  
  RESULTS
  Following percutaneous drainage and intraoperative closure of the bladder, the patient was discharged on postoperative day four and has had no sequelae.
  
  
  CONCLUSIONS
  Cross-sectional imaging and cystography can facilitate immediate diagnosis and expeditious treatment of bladder injury associated with masturbation in a hot tub.
authors.affiliation: University of California San Diego-Division of Urology, San Diego, California 92103-8897, USA.
authors.forename: Ryan P
authors.initials: RP
authors.lastname: Kopp
authors.forename: Paul E
authors.initials: PE
authors.lastname: Dato
authors.forename: Roger L
authors.initials: RL
authors.lastname: Sur
mesh_terms: D053715:Cystotomy; D005260:Female; D006417:Hematuria / Q000209:etiology; D006801:Humans; D006875:Hydrotherapy / Q000009:adverse effects*; D008418:Masturbation; D008875:Middle Aged; D011859:Radiography; D012421:Rupture; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery