A time line for you. Radiation performed 2006. Cystoscopy & volume study done in 2007 with theory of radiation-damage-to-only-outside-of-bladder propounded for frequent urination, not responding to usual meds. Now- Sept.2010 - patient sent from a hospital to a rehab (PT), then to another hospital for emergency breathing issue. At 2nd hospital, urinary tract started producing blood/clots. The ultrasound was done with results as specified. After 45 days in ICU, patient was sent to a ventilator weaning hospital/rehab still with his unresolved urinary tract problem. Two weeks later and another round of IV antibiotics - cefepime & vancomycin - urinary tract still produces blood & clots. Would a thorough look at bladder (cystoscopy & exterior via laproscopy) be next? Or the formalin?
Also, would you please address just the original question in case a puncture did occur? How would you fix it?. Thank you very much.