Bladder Rupture: An Acceptable Complication of Distension Therapy?
Article first published online: 21 NOV 2008
British Journal of Urology
Volume 50, Issue 7, pages 529–534, December 1978
How to Cite
HIGSON, R. H., SMITH, J. C. and WHELAN, P. (1978), Bladder Rupture: An Acceptable Complication of Distension Therapy?. British Journal of Urology, 50: 529–534. doi: 10.1111/j.1464-410X.1978.tb06206.x
- Issue published online: 21 NOV 2008
- Article first published online: 21 NOV 2008
Summary— Bladder rupture complicating prolonged bladder distension is reviewed. Rupture occurred in 7 of 128 distensions for detrusor instability, in 5 of 34 distensions for interstitial cystitis and in one of 4 distensions for reduced bladder capacity of unknown aetiology.
Management of extraperitoneal ruptures should be conservative. lntraperitoneal ruptures should probably be explored.
Rupture was more likely if the bladder wall was diseased, the distension pressure exceeded 145 cm H2O, and the patient was more than 50 years old.
The eventual outcome of prolonged bladder distension was not adversely affected by bladder rupture.