0

0

0

0

0

0

0

0

0

In This Article

All you need to know about bladder trauma
82

All you need to know about bladder trauma

Bladder trauma occurs because of pelvic fractures caused by road traffic accidents and penetrating injuries. However, with timely intervention, a seamless recovery can be expected, say experts.
Bladder injury is a milder form of bladder trauma and can manifest as a bruise, tear, or crack in the bladder wall, without urine leakage.
There will be the presence of blood in the urine (hematuria) when the bladder gets ruptured due to pelvic fracture.

Bladder trauma is a serious event in an individual’s life. Ever imagined what happens if your bladder (a sac that is responsible for storing urine) gets injured or even ruptured? These injuries are called bladder trauma, which is caused by multiple factors like accidents, blunt force impacts, and penetrating injuries. If you have had an accident, the ruptured (broken) pelvic bones puncture the bladder leading to bladder trauma, says Dr Ajay S Shetty, lead consultant, urology renal transplantation & robotics surgeon, Manipal Hospitals, Bangalore. Experts say that immediate medical attention is required if individuals suffer from leakage of urine, blood in the urine or swelling of the abdomen.

Difference between bladder injury and bladder rupture

Bladder injury

Bladder injury is a milder form of bladder trauma and can manifest as a bruise, tear, or crack in the bladder wall, without urine leakage, says Dr Mohan Keshavamurthy, senior director, urology, uro-oncology, uro-gynecology, andrology, transplant, and robotic surgery, Fortis Hospitals, Bangalore.

It is a contusion on the bladder without any rupture and is often contained within the bladder layers. Medical procedures like pelvic surgery or catheterization, meant to help can sometimes lead to unfortunate bladder injuries, she adds.

Bladder rupture 

Bladder rupture is a complete tear or perforation of the bladder wall leading to the escape of urine into the surrounding tissues or abdomen. Adding to that, Dr Atanu Jana, consultant urologist, Apollo Multispecialty Hospital, Kolkata, elaborates, “When the pelvic bone gets severely injured, the anterior or posterior bladder wall might get lacerated (separated or slashed).”

The bladder is connected to the prostate, and the urine is drained from the bladder to the prostatic and penile urethra. The urine may come down from the bladder into the extraperitoneal spaces of the pelvis and may lead to pelvic urinoma (accumulation of urine due to urine tract leakage) and later cause urethral stricture (scarring and narrowing of the urethral tube that carries urine out of the body), elucidates Dr Jana.

Types of bladder rupture 

Dr Shetty breaks down bladder rupture into two types: intraperitoneal and extraperitoneal.

Intraperitoneal bladder rupture 

Intraperitoneal bladder rupture is a serious condition where the urine leaks into the abdominal cavity, in and around the intestine, liver and all the abdominal organs, which causes severe abdominal pain and distention or bloating. It requires immediate medical attention, as the leaking urine can potentially carry the risk of infection.

Extraperitoneal bladder rupture

In case of extraperitoneal rupture, the urine leaks just outside the bladder in and around the pelvis, but not inside the abdominal cavity. When one conducts an ultrasound of the abdomen, one will not find urine and free fluid inside but can find a lot of bruises in the lower abdomen.

Symptoms of bladder trauma

Signs that can reveal an injury in the bladder:

Leakage of urine

The first thing that happens when there is bladder trauma, depending on the extent of the injury, is that the urine from inside the bladder could start leaking outside the bladder, says Dr Shetty.

Blood in urine

There will be the presence of blood in the urine (hematuria) when the bladder gets ruptured due to pelvic fracture. The color of the urine can range from a faint pink tinge to alarmingly crimson, says Dr Keshavamurthy.

Difficulty in urinating

Bladder trauma leads to the inability or extreme difficulty urinating along with a sharp pain in the lower abdomen, particularly around the pubic bone, which serves as a sign of injury, added Dr Keshavamurthy.

Swelling of the abdomen

Bladder trauma causes the urine to leak which may cause swelling or bruising in the abdomen. This misplaced urine can potentially become a further harbinger of trouble.

Physical signs

When severe blood loss happens due to a ruptured bladder, the body might collapse into shock, characterized by a racing heart, pallid skin and clammy chills, describes Dr Keshavamurthy.

Diagnosis and treatment of bladder trauma

After performing a physical examination and order imaging tests like cystoscopy (looking inside the bladder) or cystogram (X-ray with a radio-opaque contrast dye), Dr Keshavamurthy shares, the diagnosis is confirmed and the injury is identified.

If the injury is a minor one, then non-surgical treatments like catheter drainage will be sufficient to allow the bladder to rest and heal. Additionally, bed rest and pain management are also crucial, says the expert.

However, when there is a rupture, severe tears or injuries involving other organs, surgical procedures for closure of the bladder wall through open, laparoscopic, or robotic surgery would be required.

Takeaways

  • Bladder trauma can result from various incidents, such as accidents, falls or sharp object injuries, typically occurring when the bladder is full, says Dr Ajay Shetty.
  • Symptoms of trauma include severe pelvic pain, blood in urine, difficulty urinating, lower abdominal pain, swelling and bruising.
  • Bladder injury is milder, manifesting as bruises or tears without urine leakage, while bladder rupture involves a complete tear leading to urine escape.
  • Types of bladder rupture include intraperitoneal and extraperitoneal rupture.
  • Diagnosis involves physical examination and imaging tests like cystoscopy, with treatments ranging from surgical and non-surgical procedures.

Share Your Experience/Comments

Leave a Reply

Your email address will not be published. Required fields are marked *

Summit Registration

NOTE: The summit will be held at NIMHANS Convention Centre, Bengaluru.

Wellness Registration Form

-
-
-
Total Amount INR 3000
Trending

Articles

Article
Some couples consciously decide not to have children despite familial and social expectations, wanting to make the best of their relationship. Children should be had for their own sake, says psychotherapist Tasneem Nakhoda
Article
Insufficient consumption of heart-healthy foods can affect cardiovascular health. Experts discuss beneficial dietary choices
Article
Cycling and walking are both great cardiovascular activities that aid weight loss and keep various health conditions away. Pick one that suits your fitness goals and physical condition, say experts
Article
Summer drinks, though hydrating, can have excess sugar. Nutritionists suggest a few alternatives to keep the body temperature and sugar levels down
Article
Packed with protein, this recipe will help in weight management by keeping you full for a long time
Article
Researchers have found that a quick snooze can improve the retention of information by strengthening memories, leading to better recollection over an extended period
Trending

Articles

Article
Some couples consciously decide not to have children despite familial and social expectations, wanting to make the best of their relationship. Children should be had for their own sake, says psychotherapist Tasneem Nakhoda
Article
Insufficient consumption of heart-healthy foods can affect cardiovascular health. Experts discuss beneficial dietary choices
Article
Cycling and walking are both great cardiovascular activities that aid weight loss and keep various health conditions away. Pick one that suits your fitness goals and physical condition, say experts

0

0

0

Web Stories 

0

0

0

0

0

0

Opt-in To Our Daily Newsletter

* Please check your Spam folder for the Opt-in confirmation mail

Opt-in To Our
Daily Newsletter

We use cookies to customize your user experience, view our policy here

Your feedback has been submitted successfully.

The Happiest Health team will reach out to you at the earliest