The goals of treatment are to:
- Control symptoms
- Repair the injury
- Prevent complications
Emergency treatment of bleeding or shock may include:
- Blood transfusions
- Intravenous (IV) fluids
- Monitoring in the hospital
You may need emergency surgery to repair the injury and drain the urine from the abdominal cavity in the case of peritonitis (inflammation of the abdominal cavity).
The injury can be successfully repaired with surgery in most cases. The bladder may be drained by a catheter through the urethra or the abdominal wall over a period of days to weeks. This will prevent urine from building up in the bladder. It will also allow the injured bladder or urethra to heal and prevent swelling in the urethra from blocking urine flow.
If the urethra has been cut, a urological specialist can put a catheter in place. If this cannot be done, a tube will be inserted through the abdominal wall directly into the bladder. This is called a suprapubic tube. It will be left in place until the swelling goes away and the urethra can be repaired with surgery. This takes 3 - 6 months.