Spontaneous Rupture Of The Urinary Bladder Research Articles

High Incidence of Severe Urologic Complications Following Radiotherapy for Cervical Cancer in Japanese Women

Background. Good results have been obtained with radiation therapy for cervical cancer, but many patients suffer radiation-induced complications of adjacent organs. Some authors have reported that about 10% of patients treated with radiotherapy experience radiation-induced complications. We have previously reported that the incidence of spontaneous rupture of the urinary bladder is high in Japan but extremely low in the United States and Europe. In this study, we examined whether incidence or type of radiation-induced complications differs between Japan and the United States and Europe.Methods. A retrospective study was performed to determine the incidence among Japanese women of severe complications requiring surgical intervention following radiotherapy for cervical cancer. A total of 271 patients were treated at Kobe City General Hospital using external-beam therapy from December 1981 to March 1989. In 232 external-beam therapy was combined with high-dose-rate intracavitary brachytherapy with a remotely controlled afterloading system (RALS). The incidence and type of radiation-induced complications of the urinary tract, rectum, and intestine were determined following exclusion of 74 patients with evidence of disease recurrence or progression.Results. A total of 16 patients (8.1%) had urologic complications that required surgical intervention following irradiation, while a total of 26 patients (13.2%) had complications of the rectum or intestine that required surgical intervention following irradiation. Urologic complications occurred significantly later than those of the rectum and intestine (6.4 and 2.2 years, respectively) (P < 0.0001). The overall incidence of severe complications was comparatively higher than reported in the United States and Europe. The incidence of spontaneous rupture of the urinary bladder was particularly high (2.0%) in Japan.Conclusions. The incidence of severe complications following radiotherapy is comparatively higher in Japan than in the United States and Europe. In particular, spontaneous rupture of the urinary bladder is common in Japan. This might be due to the use of high-dose-rate brachytherapy. Since brachytherapy is currently being used for prostate cancer, urologists and radiologists must consider the possibility of a high incidence of such severe complications, especially when using high-dose-rate brachytherapy.

Spontaneous Rupture of the Urinary Bladder Is Not a Rare Complication of Radiotherapy for Cervical Cancer: Report of Six Cases

Background. Spontaneous intraperitoneal rupture of the urinary bladder is an extremely rare event. It has been reported to be a rare complication of radiation therapy for cervical cancer, but no studies have ever reported the incidence of this life-threatening complication.Materials and Methods. From August 1981 through December 1988, 143 patients with carcinoma of the uterine cervix were treated with high-dose-rate intracavitary brachytherapy combined with external beam therapy at Kobe City General Hospital.Results. Of these patients, three (2.1%) suffered spontaneous intraperitoneal rupture of the urinary bladder as a late complication of radiation therapy between August 1995 and February 1998. Three other patients, treated with radiation therapy for cervical cancer at other hospitals, were also admitted to our hospital with this complication between August 1995 and February 1998. All six patients underwent laparotomy and repair of the perforation. However, rerupture of the bladder occurred in three of these patients.Conclusion. Spontaneous intraperitoneal rupture of the urinary bladder after radiation therapy for cervical cancer is less rare than previously expected, and urologists must consider the possibility of occurrence of this life-threatening event following radiation therapy.

Spontaneous Rupture of the Urinary Bladder Complicated by Extensive Fascitis: The Importance of a High Index of Suspicion

Spontaneous rupture of the urinary bladder is a rare entity. This is, in part, the cause for the low rate of correct preoperative diagnosis, the high rate of delayed diagnosis, morbidity and mortality. We report a case of spontaneous rupture of the urinary bladder in an adult patient, complicated by extensive fascitis of the abdominal wall. The stormy course and long hospitalization in the case described are characteristic of patients with spontaneous bladder rupture and warrant a high index of suspicion in order to achieve an early diagnosis.

Recurrent spontaneous rupture of the urinary bladder

Recurrent spontaneous rupture of the urinary bladder

Spontaneous bladder rupture: Rare cause of peritonitis

Spontaneous rupture of the urinary bladder is an uncommon, but important, cause of generalized peritonitis. It is a surgical emergency which may be rapidly fatal if diagnosis and treatment are delayed. Bladder disease or obstruction, coupled with a sudden increase in intra-abdominal pressure usually accounts for the rupture. Characteristic symptoms are acute lower abdominal pain followed by generalized peritonitis. In most cases, the rupture is intra-peritoneal.

A rare case of spontaneous rupture of the urinary bladder.

An extremely rare case of spontaneous intraperitoneal rupture of the urinary bladder, caused by a combination of a tumor of the vesical wall and an impacted urethral stone, is reported. The patient's symptoms suggested a perforated hollow viscus. Under general anesthesia the urethral stone was removed, while at laparotomy a diffuse peritonitis with blood-stained purulent fluid emerging from the ruptured bladder was found. The vesical wall was repaired and the peritoneal cavity was drained. In spite of the patient's advanced age and debilitated condition and the generalized peritonitis, the postoperative course was uneventful and the patient recovered promptly. Although spontaneous rupture of this kind is rare, one needs to consider unsuspected bladder rupture in any acute abdomen, especially if the patient is in the prostatic age group or has voiding problems.

Recurrent spontaneous rupture of the urinary bladder.

A case of recurrent spontaneous rupture of the urinary bladder is described. The incidence, aetiology, diagnosis and mortality are briefly discussed. I would like to thank Professor H. L. Barniville for permission to publish this case, and Dr. M. Hickey for the pathological reports.

Spontaneous Rupture of the Urinary Bladder

Spontaneous Rupture of the Urinary Bladder

Spontaneous Rupture of the Urinary Bladder in a Male

Spontaneous Rupture of the Urinary Bladder in a Male

Recurrent spontaneous rupture of the urinary bladder; report of the fourth case.

SPONTANEOUS rupture of the urinary bladder is unassociated with immediately antecedent trauma of sufficient force to cause perforation in the normal organ. In 1943 Marbury and Fry 1 reported the first case of recurrent spontaneous rupture of the urinary bladder. Their patient was a 37 year old white man, with chronic alcoholism, in whom spontaneous perforation occurred after a debauch in April 1940 and again in March 1941. He had had syphilis, previously treated, and they believed that the contributing factors were overdistention following alcoholism and possibly a cord bladder. The next reported case is that of Pole 2 in 1944. His patient was a 32 year old Negro with a previous history of gonorrheal stricture and urinary retention that had required closed trochar bladder drainage. In 1940 he had been treated for an abscess of the space of Retzius, and in 1942 a large intraperitoneal abscess, presumed due to

Spontaneous Rupture of the Urinary Bladder

Spontaneous Rupture of the Urinary Bladder

Spontaneous Rupture of the Urinary Bladder

Spontaneous Rupture of the Urinary Bladder

Spontaneous Rupture of the Urinary Bladder

Spontaneous Rupture of the Urinary Bladder

A PLEA FOR THE NONCATHETERIZATION OF THE URINARY BLADDER

Tradition and habit of mind are hard to overcome. From the earliest history of medicine, it has been customary to insert a catheter into the urinary bladder whenever it became distended, without consideration of the underlying pathologic condition. To propose that a urinary bladder should seldom, if ever, be catheterized is radical, and such a broad statement demands analysis. I believe that logic and experience teach that in the cases of injury to the spinal cord, the urinary bladder should not be emptied by catheterization, unless there is a pathologic stricture of the urethra which would prevent overflow. A few years ago I had occasion to go over all the histories of a 1,500 bed general hospital. These histories covered a period of twenty years, and after careful search I failed to find a single case of spontaneous rupture of the urinary bladder. This in itself justifies the conclusion that