Intraperitoneal bladder perforation secondary to radiotherapy. Do i operate?

Spontaneous bladder perforations are very low prevalence injuries to the bladder, which can be caused by trauma, medical procedures or diseases.These perforations can be intraperitoneal or extraperitoneal depending on their anatomical location.Intraperitoneal injuries often require surgery, while extraperitoneal injuries can be managed more conservatively.Bladder perforations can also result from complications of pelvic radiotherapy, and their management may vary depending on the patient's clinical situation.A non-invasive approach, such as urinary drainage with a Foley catheter, can be effective in selected cases, such as the one presented in this case report, a spontaneous intraperitoneal bladder perforation in a patient undergoing pelvic radiotherapy 20 years ago.Proper treatment of bladder perforations depends on the location, cause, and the patient's condition.