What is a Fallen Bladder?

Bladder Injury Certificate, TCM Disease Name. Refers to the symptoms of bladder injury due to trauma, excessive urination, etc.

Causes of Bladder Injury Syndrome

1. Open injuries: mainly seen during wartime, caused by shrapnel, bullets and sharp objects, often combined with other organ injuries, such as rectal and vaginal injuries, forming abdominal wall urinary fistula, bladder rectal fistula, bladder vaginal fistula and so on. Generally speaking, bladder injuries from shrapnel or stab wounds entering from the hips, perineum, or thighs are more common in the peritoneal type, and penetrating trauma through the abdomen are mostly intraperitoneal types.

2. Closed injury: The bladder that is overfilled or has lesions (such as tumors, ulcers, inflammation, diverticulum) is vulnerable to external violent damage and rupture. More common in slamming, kicking, falling or accidents. Fracture fragments can also pierce the bladder when a pelvic fracture occurs. Drunkness is one of the factors that cause the bladder to rupture. When drunk, the bladder often swells and fills, and the abdominal muscles relax, so it is vulnerable to damage. Any disease that can cause urinary retention, such as urethral strictures, bladder stones or tumors, prostate enlargement, and neurogenic bladder can also be a cause of bladder rupture. Spontaneous rupture occurs when the bladder is ruptured even when drunk or the bladder has a lesion, even when there is no obvious external violence. Spontaneous bladder ruptures are almost all intraperitoneal ruptures.

3. Iatrogenic injury: seen in cystoscopy, lithotripsy, B-ultrasound examination, transurethral prostatectomy, bladder neck resection, transurethral resection of bladder cancer, delivery, pelvic surgery, and even inguinal hernia (bladder (Sliding hernia) can also occur during repair. The main reason is improper operation, and changes in the bladder itself increase the chance of such injuries.

Pathogenesis of bladder injury syndrome

Violent impact or fall on the lower abdomen, causing damage to the bladder meridians, bleeding from the network, and hematuria; blood from the menstrual flow, which stagnates in the body, forms blood stasis, which causes stasis and blood clots, which can cause discomfort or pain in the lower abdomen; Blood clogging, gasification is not good, so urination is unfavorable; stasis and heat, yellow urine, red urination stem pain; dark purple tongue or ecchymosis, pulse astringency are signs of blood stasis internal resistance.

Key points of bladder injury syndrome

Discomfort or pain in the lower abdomen, terminal hematuria, or unfavorable urination, or seeing yellow and red urine, painful urination and stem pain. The tongue is dark or bruised, and the pulse is heavy.

Clinical manifestations of bladder injury syndrome

Violent impact or fall in the lower abdomen, hematuria; discomfort or pain in the lower abdomen; unfavorable urination; yellow and red urine, painful urination of the stem; dark purple tongue or ecchymosis, heavy pulse.

Treatment of bladder injury

Pass through the collaterals, remove stasis and stop bleeding.

Bladder Injury Syndrome

Qi Li San addition and subtraction.

Traditional Chinese medicine for bladder injury syndrome

Musk, blood exhaustion, myrrh, frankincense, safflower, panax notoginseng, amber, white grass root, peach kernel.

Prevention and treatment of bladder injury syndrome

Avoid trauma. Pay attention to perinatal health. Promote New Law Delivery. Improve gynecologist surgery.

Outcome of bladder injury syndrome

The bladder has a strong ability to heal, and if handled properly, complications are rare. Urinary urgency, frequent urination, or unstable bladder may occur early after injury, and will gradually return to normal over time. Bladder infections caused by catheters are also satisfactory with appropriate antibiotics. As long as there is no obstruction of the urethra, the fistula is rarely formed after the suprapubic fistula is removed. The fatality rate of bladder injuries remains high. It is reported to be between 15.6% and 22%, mainly due to concomitant injuries, and those associated with bladder injuries are delayed in diagnosis and mishandled.

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