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Introduction: Traumatic bladder injury accounts for a third of all urological traumas. Numerous sociodemographic and geographic aspects affect the features of trauma, which are key stages in producing unique techniques or concepts that may be adapted to a range of countries and circumstances. This study aimed to characterize the bladder trauma patients admitted to Dr. Soetomo General Academic Hospital during a 7-year period. Methods: This descriptive study utilized retrospective analysis at Dr. Soetomo Hospital, Indonesia. ICD-10 codes were used to identify patients with bladder trauma in Surabaya, Indonesia, from August 2013 to December 2020. Medical records were checked for data collection. Age, gender, hemodynamic status, etiology, classification, concurrent organ injury, treatment, and outcome were all noted. Results: A total of 58 bladder trauma instances were detected utilizing medical record data. Males formed the majority of hospitalized patients (74.9%), with a mean age of 35.16 ± 12.08 years, and the majority of bladder trauma cases were caused by motor vehicle accidents (MVAs) (94.8%). Grade III trauma (46.6%) predominated, as did careful treatment (60.3%). Pelvic trauma was the most typically occurring bladder trauma-related injury (72.4%). The survival rate was high (86.2%), and the hemodynamic status was stable (79.3%). Conclusions: In our study, a majority of the participants were male, grade III, stable, and had a decent survival rate. In addition, the most prevalent cause was MVA, with pelvic trauma being the most common concomitant injury. Additional investigation, including numerous sites and a bigger sample size, is necessary.

Introduction: Traumatic bladder injury accounts for a third of all urological traumas. Numerous sociodemographic and geographic aspects affect the features of trauma, which are key stages in producing unique techniques or concepts that may be adapted to a range of countries and circumstances. This study aimed to characterize the bladder trauma patients admitted to Dr. Soetomo General Academic Hospital during a 7-year period. Methods: This descriptive study utilized retrospective analysis at Dr. Soetomo Hospital, Indonesia. ICD-10 codes were used to identify patients with bladder trauma in Surabaya, Indonesia, from August 2013 to December 2020. Medical records were checked for data collection. Age, gender, hemodynamic status, etiology, classification, concurrent organ injury, treatment, and outcome were all noted. Results: A total of 58 bladder trauma instances were detected utilizing medical record data. Males formed the majority of hospitalized patients (74.9%), with a mean age of 35.16 ± 12.08 years, and the majority of bladder trauma cases were caused by motor vehicle accidents (MVAs) (94.8%). Grade III trauma (46.6%) predominated, as did careful treatment (60.3%). Pelvic trauma was the most typically occurring bladder trauma-related injury (72.4%). The survival rate was high (86.2%), and the hemodynamic status was stable (79.3%). Conclusions: In our study, a majority of the participants were male, grade III, stable, and had a decent survival rate. In addition, the most prevalent cause was MVA, with pelvic trauma being the most common concomitant injury. Additional investigation, including numerous sites and a bigger sample size, is necessary. [ABSTRACT FROM AUTHOR]

A 24-year-old man presented with anal bleeding after accidentally falling on a table leg. Computed tomography showed free air in the bladder and around the rectum with a high-density area without intraperitoneal free air. The patient was suspected of having extraperitoneal bladder perforation with rectal impalement, and he underwent transanal rectal repair, colostomy, and urethral catheter placement after intraperitoneal bladder perforation was excluded by exploratory laparoscopy. Postoperative course was uneventful, and the urethral catheter was removed 19 days after surgery. Three months after the operation, colostomy reversal was performed, and the patient did not experience any complications.

A 62-year-old male presented with abdominal pain and hematuria following impalement of the rectum with a wooden foreign object. CT imaging showed air and fluid in the peritoneum prompting the patient to undergo abdominal exploration. An anterior rectal perforation was discovered along with dual bladder lacerations of the posterior wall and dome. The patient underwent a diverting colostomy and primary bladder repair. Post-operative course was uncomplicated and bladder repair was followed via cystograms with catheter removal 2 months post-operatively. Four months after the injury the patient underwent colostomy closure and remains with normal bladder and bowel function at 21-month follow-up.

Introduction: The purpose of this study is to provide a comprehensive overview of the incidence, spectrum and outcomes of traumatic bladder injury in Pietermaritzburg, South Africa, and to identify the current optimal investigation and management of patients with traumatic bladder injuries.Methods: The Pietermaritzburg Metropolitan Trauma Service (PMTS) trauma registry was interrogated retrospectively for all traumatic bladder injuries between 1 January 2012 and 31 October 2014.Results: Of 8129 patients treated by the PMTS over the study period, 58 patients (0.7% or 6.5 cases per 1,000,000 population per year) had bladder injuries, 65% caused by penetrating trauma and 35% by blunt trauma. The majority (60%) were intraperitoneal bladder ruptures (IBRs), followed by 22% extraperitoneal bladder ruptures (EBRs). There was a high rate of associated injury, with blunt trauma being associated with pelvic fracture and penetrating trauma being associated with rectum and small intestine injuries. The mortality rate was 5%. Most bladder injuries were diagnosed at surgery or by computed tomography (CT) scan. All IBRs were managed operatively, as well as 38% of EBRs; the remaining EBRs were managed by catheter drainage and observation. In the majority of operative repairs, the bladder was closed in two layers, and was drained with only a urethral catheter. Most patients (91%) were managed definitively by the surgeons on the trauma service.Conclusion: Traumatic bladder rupture caused by blunt or penetrating trauma is rare and mortality is due to associated injuries. CT scan is the investigative modality of choice. In our environment IBR is more common than EBR and requires operative management. Most EBRs can be managed non-operatively, and then require routine follow-up cystography. Simple traumatic bladder injuries can be managed definitively by trauma surgeons. A dedicated urological surgeon should be consulted for complex injuries. [ABSTRACT FROM AUTHOR]