[Four cases of spontaneous rupture of the urinary bladder].

Abstract

Between November 1997 and March 2001, 4 female patients from 44 to 65 years of age with a spontaneous rupture of the urinary bladder were analyzed. They complained of abdominal pain and had undergone an intra-pelvic gynecological operation (3 for uterine cancer, 1 for an ovarian cyst) several years before. The three with uterine cancer had also received radiation therapy. For their present condition, spontaneous urinary bladder rupture, their treatment was indwelling a urethral catheter. Two of them have had no recurrence of urinary bladder rupture after one month since having the urethral catheter indwelt. One, however, had to have the catheter re-indwelt due to unsuccessful suturing of the urinary bladder wall. The fourth patient had bilateral nephrostomy tubes due to severe radiation cystitis. Thus, one can infer that intra-pelvic gynecological operations and radiation therapy are major factors causing spontaneous urinary bladder rupture. While indwelling a urethral catheter may be effective for some patients with a spontaneous rupture of the urinary bladder, it may be very difficult to treat more complicated cases.

• Authors: Toshiyasu Amano, Sotaro Miwa, Hiroshi Takashima, Katsuro Takemae
• Journal: Hinyokika kiyo. Acta urologica Japonica (Hinyokika Kiyo) Vol. 48 Issue 4 Pg. 243-5 (Apr 2002) ISSN: 0018-1994 [Print] Japan
• PMID: 12048940 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Aged
• Catheters, Indwelling
• Cystitis (complications)
• Female
• Gynecologic Surgical Procedures
• Humans
• Middle Aged
• Rupture, Spontaneous
• Urinary Bladder Diseases (etiology, therapy)
• Urinary Catheterization
• Uterine Neoplasms (radiotherapy)