Minimally invasive management of extraperitoneal bladder injury with extension to the trigone of the bladder with bilateral external ureteral catheterization: innovative approach instead of open surgical treatment.

Abstract

This case study emphasizes the critical role of accurate diagnosis and tailored management strategies in successfully treating bladder injuries, particularly in complex cases. We present a patient with trigonal involvement and a Grade V injury that did not respond to conservative treatment, underscoring the need for precise surgical management. However, considering the patient's condition and the variability in surgical approaches, a less invasive intervention was chosen, leading to successful management using an external catheter to allow the bladder to heal without direct contact with urine. This innovative approach resulted in complete recovery without surgery, demonstrating the potential for positive outcomes even in complex cases. The study reiterates the importance of prompt recognition and appropriate management to prevent adverse outcomes associated with bladder trauma, underscoring the significance of close clinical monitoring and individualized treatment strategies for successful outcomes.