[Injuries of the urinary bladder: tactics and results of treatment].

A retrospective analysis of 87 cases of isolated traumas and multitraumas of the urinary bladder treated in 1986-2002 covered 69 men and 18 women aged 21-79 years. Young and middle-aged patients (20-50 year olds) prevailed. Isolated traumas of the bladder were diagnosed in 52 patients (4 extra- and 48 intraperitoneal trauma), 35 patients had multitraumas (7 extra- and 28 intraperitoneal trauma). Isolated traumas were most frequently caused by beating (79.4%), multitraumas--by road accidents (79.2%). Examination included catheterization of the bladder, ultrasonic investigation, x-ray contrast studies, laparocentesis, laparoscopy. Injury of the bladder combined with fractures of skeletal bones, craniocerebral trauma, abdominal injuries. Surgery was made in 86 cases, bladder drainage was made by cystostomy, transurethral drain was conducted in 17 patients. Bladder surgery was combined with abdominal operations in 14 patients. Three operations were delayed. Out of 87 patients 67 was cured. 20 (23%) patients died. Lethal outcomes were mostly due to progression of traumatic shock.