Abstract
Three cases of spontaneous intraperitoneal rupture of urinary bladder after antireflux surgery (Politano-Leadbetter technique) were reported. One patient had received cutaneous vesicostomy previously and another patient received reoperation twice due to the recurrence of VUR. The rupture developed 10 months, 1 year and 8 months, and 4 years and 11 monthes after the last surgeries respectively. Common symptoms were abdominal pain, abdominal distension, vomiting and oliguria. Diagnosis was made by cystography. All the patients underwent laparotomy and repair of the rupture successfully. Partial defect of the bladder musculature secondary to the bladder surgery appeared to be responsible for the rupture. Since most common site of the bladder rupture is the dome or the posterior wall, it is preferable to avoid this portion when bladder is incised. If it is unavoidable, meticulous closure of this portion is mandatory.
