Table-2.
Characteristics of the surgical repair cohort
N=67 | |
---|---|
Time to initial repair, median (IQR), hours | 5.4 (1.7–22.7) |
Reason for initial repair, n (%) | |
Severity of injury/bladder neck injury | 27 (40) |
Injury found during laparotomy | 26 (39) |
Concern for pelvic hardware contamination | 19 (28) |
Concomitant gastrointestinal or vaginal injury | 11 (16) |
Hematuria or blood clots obstructing urine drainage | 8 (12) |
Type of physician performing the initial repair, n (%) | |
Urologist | 48 (72) |
Acute care surgeon/general surgeon | 16 (24) |
Not recorded | 3 (4) |
Follow-up imaging modality, n (%) | |
Fluoroscopic cystogram | 33 (65) |
CT cystogram | 18 (35) |
Persistent urinary extravasation, n (%) | 9 (13) |
Management of persistent extravasation, n (%) | |
Additional bladder repair(s) | 2 (22) |
Continued Foley drainage | 3 (33) |
Suprapubic tube/percutaneous nephrostomy | 4 (45) |
Patients with urologic complications, n (%) | 11 (16) |
Clavien-Dindo I | 2 |
Clavien-Dindo IIIa | 4 |
Clavien-Dindo IIIb | 5 |
Patients with orthopedic complications, n (%) | 5 (7) |
Clavien-Dindo IIIb | 5 |