Percutaneous peritoneal drainage for the management of intraperitoneal bladder perforations

Aim: to determine the incidence and outcome of intraperitoneal bladder perforation (ipp) during transurethral resection managed by percutaneous drainage of peritoneal cavity. methods: from january 2012 to december 2014,medical records of patients who had ipp during transurethral resection were examined to determine the incidence and its outcome. results: 11 patients were identified. all were male ranging in age from 50 to 85 years. percutaneous peritoneal dialysis catheters were placed to drain peritoneal cavity and urethral catheters were inserted to drain urinary bladder in all patients. all made uneventful recovery with no complications. peritoneal catheters were kept from 2-4 days and urethral catheters remained indwelling from 7-14 days. conclusions: percutaneous drainage of peritoneal cavity (along with urethral bladder drainage) is a perfectly safe alternative to formal bladder repair. it minimizes morbidity and saves cost.