Bladder Trauma
Bladder injury is an uncommon condition. This is because the pelvic bones protect the bladder. Abdominal trauma may occur due to external factors such as a hard blow to the abdominal and pelvic regions. A severe blow can injure the abdomen and break the bones. Pelvic trauma can result in bone fragments that may pierce the bladder wall, triggering an overactive bladder.
Bladder injury is broadly divided into two classifications: intraperitoneal and extraperitoneal injuries. Intraperitoneal bladder injuries are caused by high-energy impact on an already overdistended bladder. On the other hand, extraperitoneal bladder injury results in pelvic fractures.
The most common method of managing an acute overactive bladder caused by extraperitoneal bladder injury is to insert an indwelling catheter. Urinary catheter use is prescribed for 10 to 14 days to manage bladder trauma effectively. Antibiotic use also is prescribed to ensure optimal results. An intraperitoneal bladder injury is more complex. If an overactive bladder is coupled with other issues, including vaginal and rectal injury, foreign body in the bladder wall, and damaged orthopedic hardware. In these cases, surgery may be ordered to address the cause permanently.
