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Diagnosis: retrograde cystography is the gold standard (CT with contrast is insufficient).
Treatment: • Suprapubic or transurethral (foley) catheterization, or even percutaneous nephrostomy if needed. • Intraperitoneal rupture is always treated surgically. • Extraperitoneal rupture can be managed conservatively unless it's a complicated injury.
• A bladder rupture is complicated if it affects the bladder neck, or is associated with pelvic ring fracture, or rectal/vaginal injury.
Diagnosis: retrograde cystography is the gold standard (CT with contrast is insufficient).
Treatment: • Suprapubic or transurethral (foley) catheterization, or even percutaneous nephrostomy if needed. • Intraperitoneal rupture is always treated surgically. • Extraperitoneal rupture can be managed conservatively unless it's a complicated injury.
• A bladder rupture is complicated if it affects the bladder neck, or is associated with pelvic ring fracture, or rectal/vaginal injury.
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