Repair after traumatic rupture/iatrogenic injury

Although injuries to the bladder are fairly uncommon, the organ can be damaged as a result of trauma or iatrogenic means. Iatrogenic injuries may occur as a result of a complication following a surgical procedure, or side-effects from certain drugs. If you have experienced a traumatic bladder rupture or iatrogenic injury, your doctor may recommend a surgical treatment to repair any damage. The surgery may involve the insertion of a catheter in the bladder, which may need to remain in place after the operation. Recovery can take up to six weeks, although your doctor may recommend that you avoid strenuous activity and heavy lifting for up to three months after treatment.

Open cystolithotomy

Cystolithotomy refers to a surgical procedure that is performed to remove bladder stones. The procedure is performed as an open surgery, and is recommended in cases where non-invasive procedures have been unsuccessful. During the procedure, your doctor will make an incision in the abdomen and insert a catheter into the bladder. The bladder stones are then removed. The bladder is stitched closed, and a drain is left near the bladder closure. Your doctor will check for any leakages and infection after around a week.

Fistula repair

A bladder fistula refers to an abnormal connection with other organs, and in most cases, involves the vagina or the bowel. During a fistula repair surgery, your doctor will remove the part of the bladder and the other organ affected by the fistula. Any remaining healthy tissue with a good blood supply is repositioned so that it blocks the opening between the bladder and the surrounding organs.  In some cases, your doctor may need to leave a catheter in the bladder for a few weeks after the surgery.