Bladder perforation associated with hot tub.
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.
Kopp
Ryan P
RP
University of California San Diego-Division of Urology, San Diego, California 92103-8897, USA.
Dato
Paul E
PE
Sur
Roger L
RL
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