Traumatic rupture of the urinary bladder: is the suprapubic tube necessary?

Neil G. Parry, Grace S. Rozycki, David V. Feliciano, Lorraine N. Tremblay, Raymond A. Cava, Zachery Voeltz, Jeffrey Carney

Research output: Contribution to journalArticlepeer-review

Abstract

Background Although surgical principles are well accepted for the treatment of an intraperitoneal or extraperitoneal rupture of the urinary bladder, the type and number of drainage catheters needed to obtain a satisfactory outcome with minimal patient morbidity have yet to be determined. Methods This was a retrospective review of data on injured patients with the diagnosis of an intraperitoneal or extraperitoneal rupture of the urinary bladder from penetrating or blunt trauma. Results Of the 51 patients identified, 28 were treated with suprapubic and transurethral catheters, whereas 23 received a transurethral catheter only. Complications and catheter duration times were similar regardless of type of bladder injury or drainage catheter used (p > 0.5). Conclusion These data suggest that there are similar outcomes and complication rates for patients treated with suprapubic and transurethral catheters versus transurethral catheter only. Transurethral catheters alone seem effective in draining all types of bladder injuries.

Original languageEnglish (US)
Pages (from-to)431-436
Number of pages6
JournalJournal of Trauma
Volume54
Issue number3
DOIs
StatePublished - Mar 2003
Externally publishedYes

Keywords

  • Suprapubic tube
  • Traumatic rupture
  • Urinary bladder

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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