
BLADDER: INJURIES, DISORDERS, SURGERIES &
MANAGEMENT
1. Anatomy (Quick Review)
1Hollow muscular organ in pelvis
2Parts: Apex, Body, Fundus, Neck
3Trigone: smooth area, clinically important
4Blood supply: vesical arteries
5Innervation: autonomic control
2. Bladder Injuries
1Types: Extraperitoneal (most common), Intraperitoneal, Combined
2Causes: trauma, pelvic fractures, iatrogenic
3Symptoms: hematuria, pain, inability to void
4Diagnosis: Retrograde cystography (gold standard), CT
5Management: Extraperitoneal → catheter, Intraperitoneal → surgery
3. Bladder Disorders
1Inflammatory: cystitis, interstitial cystitis
2Obstructive: outlet obstruction, neurogenic bladder
3Neoplastic: bladder cancer (TCC)
4Functional: overactive bladder, incontinence
4. Bladder Surgeries
1TURBT: tumor removal
2Cystectomy: partial or radical
3Urinary diversion: ileal conduit
4Suprapubic cystostomy
5Bladder augmentation
5. Management
1General: stabilize, drainage, treat cause
2Medical: antibiotics, anticholinergics, chemo
3Surgical: repair, tumor removal
4Complications: infection, renal failure, sepsis