Surgery Definition – How to manage confirm lower urinary tract trauma?
Surgery Definition – How to manage confirm lower urinary tract trauma?
Lower urinary tract trauma can be classified as rupture of the bladder or injury to the urethral. Rupture of the bladder may be divided into intra peritoneal bladder rupture or extra peritoneal bladder rupture. Intra peritoneal bladder rupture may be treated with laparotomy and repair. Subsequent drainage is considered with urethral and suprapubic catheter for a week and consider broad spectrum antibiotics. Extra peritoneal rupture is treated with catheter drainage and cystography is considered to confirm the healing process before the catheter is removed.
In urethral injury in conscious patient passing the urine. The treatment may include analgesia, prophylactic antibiotic and urology follow up as outpatient. In conscious patient with urinary retention or in an unconscious patient the treatment may include suprapubic catheterization, prophylactic antibiotic, urethral radiological studies and urology follow up.
In urethral injury, urethral catheter is not passed as it may lead to superinfection, prevent the drainage of the hematoma, may create false passage after passing through the tear, may produce fistula on withdrawal and may convert partial to full tear on the inflation of the balloon.
Lower urinary tract trauma can be classified as rupture of the bladder or injury to the urethral. Rupture of the bladder may be divided into intra peritoneal bladder rupture or extra peritoneal bladder rupture. Intra peritoneal bladder rupture may be treated with laparotomy and repair. Subsequent drainage is considered with urethral and suprapubic catheter for a week and consider broad spectrum antibiotics. Extra peritoneal rupture is treated with catheter drainage and cystography is considered to confirm the healing process before the catheter is removed.
In urethral injury in conscious patient passing the urine. The treatment may include analgesia, prophylactic antibiotic and urology follow up as outpatient. In conscious patient with urinary retention or in an unconscious patient the treatment may include suprapubic catheterization, prophylactic antibiotic, urethral radiological studies and urology follow up.
In urethral injury, urethral catheter is not passed as it may lead to superinfection, prevent the drainage of the hematoma, may create false passage after passing through the tear, may produce fistula on withdrawal and may convert partial to full tear on the inflation of the balloon.
