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The Role of Surgery in the Management of Complex Extraperitoneal Bladder Injury

  • Urologic Trauma (S Hudak, Section Editor)
  • Published:
Current Trauma Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

This review focuses on the evolving role of surgical management for complex extraperitoneal bladder injuries.

Recent Findings

Despite recommendations from both the AUA and EAU advocating bladder drainage for the treatment of most extraperitoneal bladder injuries, there appears to be an increasing role for early operative intervention in select cases of extraperitoneal bladder injury. Although there is a paucity of contemporary data regarding surgical outcomes, both simple and complex extraperitoneal bladder injuries are wrought with short- and long-term sequelae that may warrant early closure.

Summary

Catheter drainage of bladder injuries is most appropriate for carefully selected, simple extraperitoneal bladder injuries. Bladder injuries, however, with complex parameters including those with intravesical bony fragments, concomitant internal pelvic fixation, involvement of bladder neck, rectum, and/or vagina, or those undergoing exploratory laparotomy for non-GU injuries, can benefit from early cystorraphy to avoid deleterious short- and long-term complications.

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Authors and Affiliations

  1. Department of Urology, Einstein Healthcare Network/Fox Chase Cancer Center, Philadelphia, PA, USA

    Jacob W. Lucas, Andrew Chen & Jay Simhan

  2. Urologic Trauma, Reconstruction and Prosthetics, Einstein Healthcare Network, Philadelphia, PA, USA

    Jay Simhan

  3. Temple Health and the Fox Chase Cancer Center, 1200 Tabor Road, Moss/3 Sley, Philadelphia, PA, 19141, USA

    Jay Simhan

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  1. Jacob W. Lucas
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  2. Andrew Chen
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Correspondence to Jay Simhan.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Urologic Trauma

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Lucas, J.W., Chen, A. & Simhan, J. The Role of Surgery in the Management of Complex Extraperitoneal Bladder Injury. Curr Trauma Rep 3, 265–270 (2017). https://doi.org/10.1007/s40719-017-0107-x

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  • DOI: https://doi.org/10.1007/s40719-017-0107-x

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