Bladder

Incomplete bladder lacerations can be managed by catheter placement and observation. Contusions require no specific intervention. Intraperitoneal rupture and penetrating injuries require operative intervention. Extraperitoneal bladder ruptures are treated with urethral catheter drainage alone. In such cases, the catheter remains indwelling for 10 to 14 days, and the cystogram is repeated to verify healing before the urethral catheter is removed. Rarely, persistent urinary extravasation is seen, with a bony fragment remaining in the bladder wall or a pelvic fixation impinging upon the bladder.

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