Totally 312 email addresses were invalid, 259 questionnaires were completed (12·5% response rate) and 251 were included in analysis. On initial presentation, treatments included needle drainage with local deposition of corticosteroids (43%), surgery (29%) and needle drainage without corticosteroids (16%). Surgical procedures included linear incision with sutures alone (35%) or sutures plus stents (24%) and an S-shaped incision with sutures (23%). The most common reason to select a particular treatment was previous success (76%). Recurrent haematoma was treated more commonly with surgery (67%) than that of the initial presentation. Cosmetic results with medical management were excellent and with surgical treatment were good.
Rossi was admitted to the surgery and sedated so a catheter could be passed to allow him to urinate. The cause for his blockage appeared to be urinary crystals which can form into larger stones in the bladder – radiographs revealed that he had several of these uroliths (stones) causing the problem. Depending on what type of urinary crystals make up the stones, they can sometimes be dissolved with a particular type of prescription diet. Unfortunately, not all types can. A sample was taken and sent off to the lab for analysis. In the meantime, a catheter was sutured into place so Rossi could pass urine into a collection bag.