scholarly journals The reasons and countermeasures of Bladder Rupture caused by Transurethral Clot Evacuation

2021 ◽  
Vol 37 (3) ◽  
Author(s):  
Kai-long Liu ◽  
Xin Wang ◽  
Chang-bao Qu ◽  
Jin-Chun Qi
Keyword(s):  
Urinary Retention ◽  
Open Surgery ◽  
Emergency Operation ◽  
Posterior Wall ◽  
Bladder Rupture ◽  
Creative Commons ◽  
Triangle Zone ◽  
Blood Clots ◽  
Iatrogenic Damage ◽  
Clot Evacuation

Objective: Bladder rupture caused by transurethral clot evacuation is rare in clinic, but an emergency operation is indeed needed in the patient with bladder rupture. We analyzed the reasons of bladder rupture caused by transurethral clot evacuation and provided the countermeasures to guide clinical surgeon to prevent the iatrogenic damage of bladder. Method: We retrospectively reviewed the records of 287 patients in our hospital, who had bladder tamponade resulting from clots of blood for various reasons and underwent transurethral clot evacuation from January 2007 to January 2019. Six male cases, aged from 28 to 76 years (mean 56.67±17.76) had bladder rupture. Four patients whose bladder ruptured intraperitoneally were changed to open surgery to repair bladder and clear the remanent blood clots. Two patients with extraperitoneal bladder rupture and a small bladder crevasse underwent a conservative therapy. Results: We observed that the incidence rate of bladder rupture was not associated with bladder tamponade and the age, but may be associated with gender, bladder paracentesis preoperative and urinary retention preoperative. All six cases were male.. They had different period of urinary retention before operation. No supra-pubis bladder paracentesis was made before operation. The bladder crevasses located in the triangle zone and posterior wall of bladder entirely, and the length of the bladder crevasses ranged from 3 to 7cm (mean 4.83cm). The bladder crevasses were all lengthways, and four cases were of’ bladders ruptured intraperitoneally while another two presented an extraperitoneal bladder rupture. Conclusions: The reasons of bladder rupture caused by transurethral clot evacuation may be related to gender, bladder paracentesis preoperative and urinary retention preoperative. We should decide to use expectant treatment or open surgery immediately according to the extent of the rupture when bladder rupture occurs. doi: https://doi.org/10.12669/pjms.37.3.3911 How to cite this:Liu KL, Wang X, Qu CB, Qi JC. The reasons and countermeasures of Bladder Rupture caused by Transurethral Clot Evacuation. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.3911 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals A simple and effective method for bladder blood clot evacuation using hydrogen peroxide

2020 ◽  
Vol 48 (5) ◽  
pp. 030006052092454
Author(s):  
Ming Xu ◽  
Lu Jin ◽  
Yuxi Shan ◽  
Jin Zhu ◽  
Boxin Xue
Keyword(s):  
Hydrogen Peroxide ◽  
Urinary Retention ◽  
Blood Clot ◽  
Foley Catheter ◽  
Large Diameter ◽  
Emergency Evacuation ◽  
Hydrogen Peroxide Solution ◽  
Bladder Irrigation ◽  
Blood Clots ◽  
Clot Evacuation

Objective Urinary retention caused by bladder clots can be frustrating because such blood clots are difficult to remove. We established a novel technique in which hydrogen peroxide is applied to evacuate bladder clots. Methods In this single-center retrospective study, we evaluated 31 patients with retention of blood clots in the bladder who underwent emergency evacuation using hydrogen peroxide. Results The patients comprised 17 men and 14 women with mean age of 61.2 years (range, 42–82 years). Hydrogen peroxide solution and a 20-Fr three-cavity Foley catheter with large-diameter side holes were used for manual bladder irrigation in all patients. The bladder blood clots were successfully removed in 27 patients. The remaining four patients could not tolerate the symptoms of urinary retention and had to resort to surgery. Conclusion Hydrogen peroxide solution for manual bladder irrigation can improve the efficiency of bladder blood clot evacuation. This is a simple and effective option for managing bladder clot retention.

Treating traumatic thoracolumbar spine fractures using minimally invasive percutaneous stabilization plus balloon kyphoplasty: a 102-patient series

2021 ◽  
pp. neurintsurg-2020-017238
Author(s):  
Henri Salle ◽  
Alexandre Meynard ◽  
Emilie Auditeau ◽  
Clément Gantois ◽  
Aymeric Rouchaud ◽  
...  
Keyword(s):  
Visual Analog Scale ◽  
Open Surgery ◽  
Body Height ◽  
Thoracolumbar Spine ◽  
Visual Analog Scale Score ◽  
Posterior Wall ◽  
Balloon Kyphoplasty ◽  
Expected Improvement ◽  
Thoracolumbar Fractures ◽  
Analog Scale

BackgroundThere is no consensus on the treatment for spinal injuries resulting in thoracolumbar fractures without neurological impairment. Many trauma centers are opting for open surgery rather than a neurointerventional approach combining posterior percutaneous short fixation (PPSF) plus balloon kyphoplasty (BK).ObjectiveTo assess the safety and efficacy of PPSF+BK and to estimate the expected improvement by clarifying the factors that influence improvement.MethodsWe retrospectively reviewed patients who underwent PPSF+BK for the treatment of single traumatic thoracolumbar fractures from 2007 to 2019. Kyphosis, loss of vertebral body height (VBH), clinical and functional outcomes including visual analog scale and Oswestry disability index were assessed. We examined the overall effects in all patients by constructing a linear statistical model, and then examined whether efficacy was dependent on the characteristics of the patients or the fractures.ResultsA total of 102 patients were included. No patient experienced neurological worsening or wound infections. The average rates of change were 74.4% (95% CI 72.6% to 76.1%) for kyphosis and 85.5% (95% CI 84.4% to 86.6%) for VBH (both p<0.0001). The kyphosis treatment was more effective on Magerl A3 and B2 fractures than on those classified as A2.3, as well as for fractures with slight posterior wall protrusion on the spinal canal. A higher postoperative visual analog scale score was predictive of poorer outcome at 1 year.ConclusionsThis is the largest series reported to date and confirms and validates this surgical treatment. All patients exhibited improved kyphosis and restoration of VBH. We advise opting for this technique rather than open surgery.

scholarly journals Large anterior urethral calculus masquerading as periurethral abscess

2018 ◽  
pp. bcr-2018-225831
Author(s):  
Ajay Aggarwal ◽  
Vishwajeet Singh ◽  
Rahul Janak Sinha ◽  
Siddharth Pandey
Keyword(s):  
Urinary Retention ◽  
Adult Male ◽  
Open Surgery ◽  
Acute Urinary Retention ◽  
X Ray ◽  
Stricture Urethra ◽  
Urethral Calculus ◽  
First Diagnosis

Urethral calculus causes variety of symptoms from simple dysuria to acute urinary retention. The diagnosis is many times not easy. A plain X-ray of the pelvis may aid in diagnosis. Due to variety of symptomatic presentations sometimes it is not the first diagnosis that comes to one’s mind. Management is by removal of the calculus via various methods ranging from endoscopic to open surgery. We present the case of an adult male, who was initially thought to have periurethral abscess due to stricture urethra but during investigations was found to have urethral calculus as the cause for his symptoms.

scholarly journals Complications Associated with Oocyte Retrieval: An Unusual Case of Hematuria and Recurrent Urinary Retention

2019 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Urinary Retention ◽  
Ovarian Hyperstimulation Syndrome ◽  
Acute Urinary Retention ◽  
Unusual Case ◽  
Urinary Catheter ◽  
Oocyte Retrieval ◽  
Ovarian Hyperstimulation ◽  
Management Options ◽  
Bladder Irrigation ◽  
Blood Clots

Background: Complications associated with oocyte retrieval include ovarian hyperstimulation syndrome, ovarian torsion, infection, bleeding, and even acute urinary retention. Case: A 29 year old female presented to the emergency department for dizziness and syncope following oocyte retrieval and was admitted for ovarian hyperstimulation syndrome. Her urinary catheter was obstructed by blood clots and relieved with bladder irrigated. The catheter was removed after twenty-four hours, and she was able to void spontaneously. Four days after discharge, she returned for urinary retention. She underwent cystoscopy and 10cc of blood clots was evacuated. The bladder appeared normal without intravesicular bleeding, and she was discharged home. Twelve hours later, the patient returned for urinary retention. Another cystoscopy was performed and 150cc of blood clots was evacuation. Her symptoms resolved. Conclusion: Hematuria and urinary retention are rare but serious complications of oocyte retrieval. Management options include a urinary catheter, bladder irrigation, urologic imaging, and cystoscopy

scholarly journals FRESH GRADUATE UROLOGIST IN EASTERN INDONESIA: FIRST YEAR SURGERY EXPERIENCE

2021 ◽  
Vol 28 (1) ◽  
pp. 66-73
Author(s):  
Ardito Ario Willy Goller ◽  
Arley Sadra Telussa
Keyword(s):  
Kidney Stones ◽  
Standard Care ◽  
Open Surgery ◽  
Ureteral Stone ◽  
Blood Clot ◽  
Descriptive Study ◽  
First Year ◽  
Turp Syndrome ◽  
Clot Evacuation ◽  
Basic Standard

Objective: In present days, endourology is the hallmark of urology, including in developing countries. This study reviews the surgical experiences of a urology practitioner in the first year of his practice in the underdeveloped province in Indonesia. Material & Methods: This research is a descriptive study that retrieval patients data from the medical record during June 2018 - May 2019. Results: Total of 401 operations were obtained. There were 328 male (81.8%) and 73 female (18.2%) with the average of patients age were 52+17.77 years old. The most common diagnoses were BPH 113 cases (28.2%). bladder stone 83 cases (20.7%), and ureteral stone 52 cases (13%). The most common surgical procedures performed were TURP 120 operations (29.9%), Ureterorenoscopy (URS) 64 operations (16%), and Vesicolithotripsy 58 operations (14.5%). The upper tract procedures were 84 operations (20.9%), mainly URS 64 operations (16%). Whereas the lower procedures were 317 operations (79.1%) mainly TURP 120 operations (29.9%). The complications were bleeding post-TURP 5 cases which require blood clot evacuation (1.2%), bleeding post open nephrolithotomy 1 case which requires blood transfusion (0.2%), and TURP syndrome 1 case (0.2%) with mortality 2 patient (0.4%). All kidney stones were handled by open surgery due to lack of PCNL and ESWL set devices. Conclusion: First year urologist who are interested in serving in such areas may benefit from prioritizing the availability of upper and lower set to performed basic standard care for surgical urology without leaving the hallmark of urology.

Bladder Rupture Caused by Postpartum Urinary Retention

2008 ◽  
Vol 112 (2, Part 2) ◽  
pp. 481-482 ◽  
Author(s):  
Omar Felipe Dueñas-García ◽  
Hugo Rico ◽  
Viridiana Gorbea-Sanchez ◽  
Tomas Herrerias-Canedo
Keyword(s):  
Urinary Retention ◽  
Bladder Rupture ◽  
Postpartum Urinary Retention

scholarly journals THE EFFICACY OF NASOGASTRIC TUBE IN A LARGE BLOOD CLOT EVACUATION DURING CYSTOSCOPY

2016 ◽  
Vol 23 (2) ◽  
Author(s):  
Caesar Khairul Wallad ◽  
Jumadi Santoso ◽  
Kuncoro Adi
Keyword(s):  
Nasogastric Tube ◽  
Negative Pressure ◽  
Blood Clot ◽  
Clot Removal ◽  
Blood Clots ◽  
Tube Suction ◽  
Clot Evacuation

Objective: In this study we introduce using nasogatric tube as an alternative to procure a safe and efficient way to remove large troublesome blood clots during cystoscopy procedure. Material & methods: We prospectively perform blood clot evacuation using nasogastric tube suction (NGT) on 21 patients in Hasan Sadikin GeneralHospital Bandung,within 6 months period. A 24 fr sheath and 16 fr NGT connected to suction unit with a 300 mmhg negative pressure was set. A repetitive back and forth technique was set in motion during the procedure. Cystoscopy time and NGT suction time was documented. Results: All patients were successfully managed with this method without complication during the procedure. The average time for clot removal was 5 minutes 8 seconds with average cystoscopy time was 20 minutes 12 seconds and average estimated blood clots volume was 483 grams. Conclusion: Evacuation using NGT suction is effective, safe and an efficient way to remove a large bothersome clots.

scholarly journals Micropapillary carcinoma of the bladder presented with spontaneous intraperitoneal bladder rupture

2012 ◽  
Vol 6 (2) ◽  
Author(s):  
Miroslav M. Stojadinović ◽  
Slobodanka Lj. Mitrović ◽  
Dragan R Milovanović
Keyword(s):  
Unusual Case ◽  
Clinical Presentation ◽  
Emergency Operation ◽  
Bladder Perforation ◽  
Bladder Rupture ◽  
High Morbidity ◽  
Micropapillary Carcinoma ◽  
Diffuse Abdominal Pain ◽  
Intraperitoneal Bladder Rupture ◽  
Carcinoma Of The Bladder

Spontaneous bladder perforation is a rare presenting feature of bladder malignancy. We describe an unusual case of a patient, admitted to emergency, with diffuse abdominal pain due to spontaneous bladder rupture in association with a micropapillary carcinoma. A diagnosis of an intraperitoneal bladder perforation was made during an emergency operation. Aspects of etiology, clinical presentation, diagnosis and management are described. Although cases of spontaneous carcinomatous bladder rupture are associated with high morbidity and mortality, prompt identification and treatment can lead to favourable outcomes.

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