Conclusion
Current urological trauma guidelines provide comprehensive guidance on the recognition, diagnosis, management, and follow-up of patients with bladder injury. The guidelines reviewed provide recommendations through panel consensus after reviewing the available research and thereafter assigning the appropriate LoE. Importantly, the major aspects of diagnosis and management are similar across all gu
Current urological trauma guidelines provide comprehensive guidance on the recognition, diagnosis, management, and follow-up of patients with bladder injury. The guidelines reviewed provide recommendations through panel consensus after reviewing the available research and thereafter assigning the appropriate LoE. Importantly, the major aspects of diagnosis and management are similar across all guidelines. There is consensus between all guidelines about those injuries that should be managed operatively and those that should be managed conservatively, which is largely evidence-based. However, there does appear to be some lack of consensus in terms of follow-up of bladder injuries, namely a paucity of guidance related to timing and the investigation of choice. There is also a lack of guidance relating to paediatric bladder injury and iatrogenic bladder injury, as this was only covered in detail by the EAU guidelines. In addition, there is no standard of care prescribed by any current guideline for the management of spontaneous or idiopathic bladder rupture. These are potential areas for future research.
Bladder Trauma: A Guideline of the Guidelines; Reddy D, Laher AE, Moeng M, Adam A_6; BJU International published by John Wiley & Sons Ltd on behalf of BJU International. 2024; 133(3):365–374. doi:10.1111/bju.16236._2024