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Traumatic Rupture of the Urinary Bladder: Is the Suprapubic Tube Necessary?

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

Journal of Trauma-Injury Infection & Critical Care: March 2003 - Volume 54 - Issue 3 - pp 431-436
Original Articles

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.

From the Departments of Surgery (N.G.P., G.S.R., D.V.F., R.A.C.) and Urology (Z.V., J.C.), Grady Memorial Hospital, Emory University School of Medicine, Atlanta, Georgia, and University of Toronto and Sunnybrook and Women’s Health Sciences Centre (L.N.T.), Toronto, Ontario, Canada.

Submitted for publication October 13, 2002.

Accepted for publication December 5, 2002.

Presented at the 61st Annual Meeting of the American Association for the Surgery of Trauma, September 26–28, 2002, Orlando, Florida.

Address for reprints: Grace S. Rozycki, MD, FACS, Department of Surgery, Emory University School of Medicine, Glenn Memorial Building, Room 302, 69 Jesse Hill Jr. Drive, Atlanta, GA 30303; email: grozyck@emory.edu.

© 2003 Lippincott Williams & Wilkins, Inc.