Which of the following is a strong indication for the surgical exploration of bladder trauma?
A. Recurrent catheter obstruction due to clotsAnswer A
Flame like contrast extravasation suggests an extraperitoneal injury which can be managed conservatively. There is however, increasing data to support early surgical repair of extraperitoneal bladder injuries if internal fixation is performed. Catheter difficulties following bladder trauma are best managed by operative intervention and bladder repair.