Rupture of the urinary bladder occurs rarely; it is usually difficult to recognize and the mortality is still high, even in this period of accurate urologic diagnosis and skilful surgery.
In the early days of surgery many famous physiccians were concerned seriously with the study and treatment of rupture of the bladder. Hippocrates1 stated in his writings that a severe wound of the bladder was deadly. Galen2 in later years, commenting on the aphorisms of Hippocrates, states that this term "deadly" meant a very dangerous wound but not necessarily a fatal one. Besley3 states that until the end of the sixteenth century the authority of Hippocrates was so strong that no one would have been bold enough to report a case of recovery. No one expected patients with bladder rupture to recover, and usually they did not. Even up to the time of the elder Larrey,2
SCHOLL AJ. RUPTURE OF THE URINARY BLADDER ASSOCIATED WITH PROSTATIC HYPERTROPHY. JAMA. 1936;106(9):701–704. doi:10.1001/jama.1936.02770090037011
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