Результати лікування хворих із гемотампонадами сечового міхура

Abstract

Results of treatment of 36 patients aged from 42 to 79 years for urinary bladder hematamponade of different aetiology were ana­lyzed. All patient urgently underwent clinical, laboratory, ultrasonic, radiological examination depending оn general condition and hemorrhage severity. Individual surgical management was developed and conducted. At 28 (77,8%) patients bladder tamponade was cased bу postoperative hemorrhage, 12 of them were operated in other hospitals. All patients were operated. Cystic tromblapaxya was executed at 26 patients (72,2%), it provided at 12 of them (33,3%) bladder tamponade liquidation. At 16 patients (44,4%) trans­bladder operations were executed. At 7 patients (19,4%) transurethral operations were executed. АІІ patients were discharged from the department. Late fates of treatment were traced at 17 patients in the period from І till 9 years. Good results - at 6 cases (35,3%). At З cases ( 17,6%) relapse of а hemorrhage and bladder tamponade has taken рІасе in the remote period. 4 pathients (23,5%) have died from the underlying oncological disease progress in different terrns. In cases of profuse hemorrhage absence the preference should bе given to low- invasive methods of treatment (tromblapaxya, transurethral coagulation of bleeding sources with pathologi­cal tissues resection).