The common symptoms of ureteral injury include abdominal or flank pain, urine leakage, fever, infection, and blood in the urine. Minor injuries are treated with placement of stent in the ureter to divert the urine from ureters for 2 to 6 weeks allowing them to heal.
For severe injuries, surgery is needed to repair the damage or to reconstruct the ureter. Urethral injuries: These injuries can occur as a result of straddle- type falls injuries to the area between the legs or pelvic fractures. These injuries can also occur during procedures such as bladder catheterization, cystoscopy or during surgeries performed on urethra. If the urethra is injured, a person may develop bloody discharge from tip of the penis in men or the urethral opening in women, blood in the urine, bruising, painful urination or inability to urinate.
Untreated urethral injuries can lead to complications such as bleeding, permanent narrowing of the urethra, inability to have an erection erectile dysfunction , urinary incontinence, and infection.
Urethral injuries can be treated with the insertion of a catheter into the bladder, which is usually left in place for several days while the urethra heals. In the case of severe urethral injury, the injury may need to be repaired with surgery. Your doctor inserts a gloved finger into the rectum to feel the condition of the prostate that lies close to the rectal wall.
If your doctor feels something suspicious such as a lump or bump, further tests will be carried out. Urodynamic Assessment is a highly specialised and sophisticated method of making a scientifically accurate diagnosis of the cause of incontinence. The Urodynamic recording system, which measures all the important functions of the bladder, is connected to a computer. Vasectomy is a minor surgical procedure in which the vas deferens, a thin tube that stores and transports sperm is cut and then tied or sealed so that the sperm can no longer get into the semen.
A wide range of laparoscopic surgeries are performed for urological conditions and may include laparoscopic simple or radical nephrectomy, laparoscopic donor nephrectomy, laparoscopic nephroureterectomy. Prostate brachytherapy involves the placement of radioactive material directly into the prostate gland. These implants can be in the form or wires or radioactive iodine 'seeds'.
Benign prostatic hyperplasia BPH , or benign prostatic hypertrophy is enlargement of the prostate gland. This procedure is performed for urinary obstruction, following surgical procedures to the urethra, in unconscious patients due to surgical anesthesia, coma, or other reasons , or for any other problem in which the bladder needs to be kept empty decompressed and urinary flow assured.
Catheterization in males is slightly more difficult and uncomfortable than in females because of the longer urethra. Injury to the bladder due to trauma is not very common.
The bladder is located within the bones of the pelvis. This protects it from most outside forces. Injury may occur if there is a blow to the pelvis severe enough to break the bones. In this case, bone fragments may pierce the bladder wall. Less than 1 in 10 pelvic fractures lead to bladder injury. Injury to the bladder or urethra may cause urine to leak into the abdomen. This may lead to infection.
Shock or internal bleeding may occur after a bladder injury. This is a medical emergency. Symptoms include:. If there is no or little urine released, there may be an increased risk for urinary tract infections UTI or kidney damage.
An exam of the genitals may show injury to the urethra. If the health care provider suspects an injury, you may have the following tests:. A catheter may be inserted once an injury of the urethra has been ruled out. This is a tube that drains urine from the body.
An x-ray of the bladder using dye to highlight any damage can then be done. Emergency surgery may be done to repair the injury and drain the urine from the abdominal cavity in case of extensive injury or peritonitis inflammation of the abdominal cavity. The injury can be repaired with surgery in most cases. The bladder may be drained by a catheter through the urethra or the abdominal wall called a suprapubic tube over a period of days to weeks. This will prevent urine from building up in the bladder.
It will also allow the injured bladder or urethra to heal and prevent swelling in the urethra from blocking urine flow.
But often it can be treated by simply placing a wide catheter into the bladder to keep it empty. The urine and blood drain into a collection bag. It usually takes at least 10 days for the bladder to heal. The catheter is left in the bladder until an X-ray shows that the leak has sealed.
Injury to the bladder from a bullet or other penetrating object is usually fixed with surgery. Most of the time, other organs in the area will be injured and need repair as well. After surgery, a catheter is left in the bladder to drain the urine and blood until the bladder heals.
After the catheter is taken out, urination should return to normal in a few weeks. You'll usually take antibiotics for a few days to get rid of any infection in the bladder from the injury or the catheter. In some patients, the bladder may be " overactive " for many weeks or months from the irritation of the injury. With overactive bladder, you would feel the need to urinate often "frequency" or suddenly "urgency". For this, you may be given drugs to help calm the bladder. This web site has been optimized for user experience and security, therefore Internet Explorer IE is not a recommended browser.
Thank you. Urology A-Z Bladder Trauma. What is Bladder Trauma? How Does the Bladder Usually Work? The two basic types of damage to the bladder by trauma are bruises and tears. Other symptoms may include: Hard to start urinating Weak urine stream Painful urination Fever Severe back pain.
The most common ways the bladder is injured are: Car crashes Falls from high places Heavy object falling on the lower abdomen You can prevent bladder trauma from a car crash by wearing a seat belt properly. The treatment for bladder trauma depends on the type of damage.
Blunt injury is damage caused by blows to the bladder. This bruises the bladder.
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