What is the standard treatment for extraperitoneal bladder rupture?

Treatment / Management AUA guidelines recommend that uncomplicated extraperitoneal bladder injuries be managed conservatively with catheter placement. Standard therapy involves leaving the catheter in place for two to three weeks, but it may be left in longer in some cases.

What part of the bladder is extraperitoneal?

In adults, the bladder is located in the anterior pelvis and is enveloped by extraperitoneal fat and connective tissue. It is separated from the pubic symphysis by an anterior prevesical space known as the space of Retzius.

What is extraperitoneal bladder perforation?

Extraperitoneal perforations are confined to the extraperitoneal space and imaging shows extravasation of contrast material close to the bladder, usually anteriorly, in a streaky and irregular pattern.

How fast does the bladder heal?

The urine and blood drain into a collection bag. It usually takes at least 10 days for the bladder to heal.

How long does a bladder injury take to heal?

It usually takes at least 10 days for the bladder to heal.

Does the bladder heal quickly?

The bladder is a master at self-repair. When damaged by infection or injury, the organ can mend itself quickly, calling upon specialized cells in its lining to repair tissue and restore a barrier against harmful materials concentrated in urine.

How long does a bladder take to heal?

What happens if my bladder bursts?

A burst bladder is a life-threatening condition. When you hold your urine in for days at a time, you’re exposing your body to harmful bacteria that’s meant to be released. This can lead to a UTI, which can escalate to all sorts of complications, including sepsis.

How much urine can a bladder hold before it ruptures?

A healthy human bladder can hold between 400 to 500 milliliters of urine, or about 2 cups, before it reaches capacity.

What causes an extraperitoneal rupture of the bladder?

Extraperitoneal ruptures are usually associated with pelvic fractures either due to compressive forces on the pelvis causing rupture of the anterior or lateral bladder wall or from direct penetration of the bladder by bony fracture fragments.

Can a pelvic fracture cause a bladder rupture?

Any pelvic fracture may be associated with bladder rupture, but fractures that involve the anterior arch or all four pubic rami significantly increase the risk. Pelvic fractures with ring disruption and those associated with posterior injury through the sacrum or ileum are also high risk for bladder rupture.

When to consider surgery for a bladder rupture?

Extraperitoneal ruptures that do not heal after 4 weeks of catheter drainage should be considered for surgical repair. Complicated extraperitoneal bladder ruptures, such as those associated with bone fragments within the bladder and those associated with vaginal or rectal injuries, often require operative repair.

What happens to a child with a bladder rupture?

Spontaneous ruptures present with pelvic pain, renal failure, urinary ascites, and sepsis. Overall, the incidence of intraperitoneal bladder rupture is much higher in children because of the intra-abdominal location of the bladder at a young age. More important, bladder rupture is often associated with colon injuries.