What Is a Bladder Repair?

Bladder rupture is a full-thickness rupture of the bladder wall with urinary extravasation, which requires surgery. Bleeding is usually not serious when the bladder is ruptured, which does not cause shock, but it can often cause shock if it is caused by a combination of abdominal internal organ damage or pelvic fracture. Therefore, hematoma should be removed during surgery, bladder fissures need to be repaired, and bladder stoma should be performed to ensure the healing of bladder wounds.

Basic Information

Chinese name: Bladder Rupture Repair

Visiting department: Urology

Anesthesia method and preoperative preparation for bladder rupture repair

Anesthesia mode

Epidural anesthesia or low spinal anesthesia combined with abdominal visceral injury or general anesthesia for children.

2. Preoperative preparation

(1) Check the injuries in detail to determine whether there are any combined injuries.

(2) If there is shock, anti-shock treatment should be given first.

(3) Indwelling urinary catheter to drain urine to reduce extravasation of urine.

(4) Apply antibiotics to prevent infection.

Indications for bladder rupture repair

1. Urinary extravasation symptoms occurred after lower abdominal injury, and cystography confirmed that there was extravasation of contrast agent.

2. Those who urinate in the wound after trauma to the lower abdomen.

Contraindications for bladder rupture repair

Bladder injury is accompanied by other important life-threatening organ damage. When the wounded is severe and shock occurs, anti-shock treatment should be performed first and indwelling catheter should be used to reduce urinary extravasation. Bladder damage is then treated.

Bladder Rupture Repair Procedures

The general steps of the operation: incision to expose the bladder. Exploration. Repair cracks. bladder stoma.

Postoperative complications of bladder rupture repair

Bleeding, extravasation, and infection.

Nursing after bladder rupture repair

Postoperative evaluation, selection of proper position, good pain care, fixation of urinary catheter and bladder fistula, keeping patency, health education.