Outcome and Management of Bladder Trauma at a Tertiary Hospital in Indonesia: 7 years' Experience

Abstract

Introduction: Traumatic bladder injury accounts for a third of all urological traumas. Numerous sociodemographic and geographic aspects affect the features of trauma, which are key stages in producing unique techniques or concepts that may be adapted to a range of countries and circumstances. This study aimed to characterize the bladder trauma patients admitted to Dr. Soetomo General Academic Hospital during a 7-year period. Methods: This descriptive study utilized retrospective analysis at Dr. Soetomo Hospital, Indonesia. ICD-10 codes were used to identify patients with bladder trauma in Surabaya, Indonesia, from August 2013 to December 2020. Medical records were checked for data collection. Age, gender, hemodynamic status, etiology, classification, concurrent organ injury, treatment, and outcome were all noted. Results: A total of 58 bladder trauma instances were detected utilizing medical record data. Males formed the majority of hospitalized patients (74.9%), with a mean age of 35.16 ± 12.08 years, and the majority of bladder trauma cases were caused by motor vehicle accidents (MVAs) (94.8%). Grade III trauma (46.6%) predominated, as did careful treatment (60.3%). Pelvic trauma was the most typically occurring bladder trauma-related injury (72.4%). The survival rate was high (86.2%), and the hemodynamic status was stable (79.3%). Conclusions: In our study, a majority of the participants were male, grade III, stable, and had a decent survival rate. In addition, the most prevalent cause was MVA, with pelvic trauma being the most common concomitant injury. Additional investigation, including numerous sites and a bigger sample size, is necessary.

Keywords

• adult trauma; bladder trauma; tertiary hospital; traumatic bladder injury