MEDICAL-MANAGEMENT OF IATROGENIC RENTS IN THE WALL OF THE FELINE URINARY-BLADDER

Surgical closure may not be necessary to successfully manage all patie nts with ruptured urinary bladders. If the margins of the walls of tea rs in the bladder wall are not devitalized, and if they remain in clos e apposition via maintenance of the bladder lumen in a nondistended st ate for an appropriate period, these conditions may simulate those cre ated by use of surgical sutures. This is not advocating an all-or-none choice. Because the clinical status of patients with ruptured urinary bladders can range from that characterized by only hematuria and dysu ria to life-threatening postrenal uremia, a range of surgical and medi cal options should be considered.