Bladder Rupture – Emergency Evaluation & Reconstructive Repair by Dr. Premkumar K

Bladder Rupture occurs when the bladder wall tears due to trauma, pelvic fractures, accidents, or direct impact to the lower abdomen. It can cause urine leakage into the abdomen or surrounding tissues and is considered a medical emergency. Dr. Premkumar K, an expert in Urological Trauma & Reconstructive Surgery, ensures rapid diagnosis, emergency stabilization, and advanced surgical repair to restore normal bladder function and prevent life-threatening complications.

• Causes of Bladder Rupture – Road traffic accidents, pelvic fractures, falls, direct blows to the abdomen, sports injuries, penetrating trauma, or rare cases of spontaneous rupture due to over-distended bladder.

• Types of Bladder Rupture – Extraperitoneal rupture (common with pelvic fractures), intraperitoneal rupture (due to direct blow or full bladder), and combined rupture involving both areas.

• Common Symptoms – Inability to urinate, severe lower abdominal pain, blood in urine (hematuria), abdominal swelling, difficulty passing urine, signs of shock, or urine leakage into the abdominal cavity causing infection.

• Diagnostic Evaluation – CT cystography, ultrasound, X-ray, contrast imaging, blood tests, and pelvic assessment to confirm the site and extent of bladder wall injury.

• Emergency Management – Stabilization of bleeding, pain control, bladder decompression with catheterization, infection prevention, and urgent surgical intervention for major tears or intraperitoneal ruptures.

• Surgical Treatment – Primary bladder repair, removal of blood clots, sealing of rupture sites, peritoneal washout for urine leakage, and repair of associated pelvic or urethral injuries for complete recovery.

• Catheter-Based Management – For minor extraperitoneal ruptures, prolonged catheter drainage helps natural healing without surgery, along with close imaging follow-up.

• Post-Treatment Care – Monitoring urine output, infection control, follow-up cystography, ensuring proper healing of bladder wall, and managing urinary symptoms or discomfort after repair.

• Possible Complications Managed – Infection, bladder leakage, urinary retention, abdominal infection (peritonitis), and long-term urinary difficulty if untreated.

With rapid diagnosis, skilled trauma care, and expertise in bladder reconstruction, Dr. Premkumar K ensures optimal recovery and restoration of bladder function after rupture.

If you suspect bladder injury after an accident or pelvic trauma, immediate evaluation is essential. Consult Dr. Premkumar K for expert Bladder Rupture diagnosis and personalized treatment.