Should Extraperitoneal Bladder Injuries Be Repaired at the Time of Pelvic Fixation?

Blunt pelvic fracture is the most common mechanism of injury to the urogenital system. Intraperitoneal bladder injuries undergo prompt surgical repair, while extraperitoneal injuries are managed with Foley catheter drainage until healed. However, when pelvic fixation is performed in the retropubic space, the bladder injury plane is violated and the injury may be exacerbated