traumatic injury of bladder and urethra

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Urology A rare clinical event, given the bladder's location in the bony pelvis; TIBU may occur if the blow to the pelvis is severe enough to break bones, and bone fragments penetrate the bladder wall Other asscociations Surgery of pelvis or groin–eg, hernia repair and abdominal hysterectomy, injury to urethra, especially in ♂–cuts, tears, bruises, etc; injury to the bladder or urethra may cause urine to leak into the abdomen, leading to peritonitis, severe bleeding and fluid loss, scarring–stricture or obstruction of bladder or urethra from edema may develop, leading to urine retention, possibly vesicoureteric reflux or bilateral obstructive nephropathy; there is an ↑ risk of UTIs post urethral or bladder trauma due to stasis of retained urine

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