Intraperitoneal injury

Intraperitoneal injury

Intraperitoneal injuries usually require open surgical repair to reduce the risks of urinary contamination of the peritoneal space. If the injury is small without significant fluid extravasa - tion, a period of catheterisation can be attempted in clinically well patients, but close monitoring is required and a cystogram at 2 weeks should confirm complete healing prior to removal of the catheter. If it has not healed, open re pair will be required. Summary box 83.9 Bladder trauma /uni25CF /uni25CF /uni25CF

Bladder trauma can be extraperitoneal or intraperitoneal Extraperitoneal injury can be managed with indwelling catheterisation for 10–14 days Intraperitoneal injury most often requires laparotomy and repair of the bladder defect

Abrams P , Andersson KE, Birder L et al . Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn 2010; 29 (1): 213–40. Babjuk M, Burger M, Compérat EM. European Association of Urology guidelines on non-muscle-invasive bladder cancer (TaT1 and carcinoma in situ) – 2019 update. Eur Urol 2019; 76 : 639–57. Bonkat G, Bartoletti R, Bruyere F et al . EAU guidelines on urological infections . Available from https://uroweb.org/wp-content/uploads/ EAU-Guidelines-on-Urological-Infections-2018-large-text.pdf (accessed 29 August 2020). micturition. Nat Rev Neurosci 2008; 9 (6): 453–66. Malde S, Palmisani S, Al-Kaisy A, Sahai A. Guideline of guidelines: bladder pain syndrome. BJU Int 2018; 122 (5): 729–43. Partin AW , Peters CA, Kavoussi LR, Dmochowksi RR, Wein AJ. Campbell–Walsh–Wein urology , 12th edn. Philadelphia, PA: Elsevier, 2021. Witjes JA, Bruins HM, Cathomas R et al . European Association of Urology guidelines on muscle-invasive and metastatic bladder cancer: summary of the 2020 guidelines. Eur Urol 2021; 79 (1): 82–104.