Open AccessPelvic fracture-related bladder injury: Characteristics and literature review
Author(s) -
Jovan Hadži-Djokić,
Vladan Andrejević,
T. Pejcic,
M. Acimovic,
Dragoslav Bašić,
Z. Dzamic
Publication year - 2015
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci1501009h
Subject(s) - medicine , pelvic fracture , urethra , penile fracture , surgery , urinary bladder , urinary system , abdomen , urinary leakage , penis , urology , urinary incontinence , pelvis , anatomy
In a traumatic pelvic fracture, the forces of the trauma or pieces of the broken pelvic bones can lacerate or tear the urinary system. This type of trauma can range in its severity and some injuries can require immediate or delayed urinary reconstruction. In addition to direct trauma to the lower urinary system (bladder, prostate and urethra), pelvic trauma can disrupt nerves to the bladder and penis and lead to urinary problems like leakage and erectile dysfunction. Bladder rupture is rare and is often associated with other serious injuries and a high mortality rate. The bladder can also be torn or burst during a pelvic fracture. If these tears are large or urine spills into the abdomen around the intestine, they have to be fixed surgically.