Traumatic Injury of the Bladder and Urethra
Alternate Names : Bladder Injury, Bruised Bladder, Injury - Bladder and Urethra, Pelvic Fracture, Straddle Injury, Urethral Disruption, Urethral Injury
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Treatment
The goals of treatment are control of symptoms, repair of the injury, and prevention of complications. Emergency treatment of bleeding, shock, or hemorrhage may include intravenous fluids or blood and monitoring in the hospital.
Treatment of peritonitis may include emergency surgery to repair the injury and to drain the urine from the abdominal cavity. Antibiotics may be given to treat peritonitis and to prevent the development of urinary tract infections.
Surgical repair of the injury is usually successful. The bladder may be drained by a catheter, through the urethra or the abdominal wall, for days to weeks. This will prevent urine from accumulating in the bladder, which allows the injured bladder or urethra to heal easier. This also prevents obstruction of urine flow caused by urethral swelling.
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