Explosion of the urinary bladder during transurethral resection of the prostate

Baldvinsdóttir, Bryndís; Gíslason, T; Jónsson, Eiríkur

doi:10.3109/21681805.2014.932843

Cited by 4 publications

(5 citation statements)

References 5 publications

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“…In the present case, the bladder explosion happened at the end of a TURP procedure performed for benign prostatic hypertrophy, an intervention which was prolonged by about 55 minutes while the surgeon proceeded to coagulate some blood vessels. Many studies [12, 17-19, 21, 22] involve the possibility to eliminate air penetrated in case into the bladder during surgery through suprapubic pressure or the use of a ureteral catheter, also the patient in different positions or angling the beak of the resectoscope while the bladder is emptied. In the present case, these measures were not sufficiently observed, and the bladder explosion occurred at the end of the surgical intervention, resulting to the large laceration of the posterior wall of the bladder while the surgeon proceeded hemostasis of some vessels.…”

Section: Discussionmentioning

confidence: 99%

Transurethral resection of the prostate, bladder explosion and hyponatremic encephalopathy: a rare case report of malpractice

et al. 2017

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AbstractWe present an original case report of a bladder explosion during a TURP intervention for benign prostatic hypertrophy, that was brought on by the absorption of about 5 liters of glycine 1.5% and then onset of a severe hyponatremia. The quick and inappropriate correction of this electrolyte imbalance led the onset of encephalopathy and the death of the patient. The authors discuss the pathogenesis of these uncommon diseases and, considering the most recent Italian Legislation, they highlight the importance to respect good clinical practice standards and guidelines to ensure the most appropriate treatments for the patient and remove any assumptions of medical liability.

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Section: Discussionmentioning

confidence: 99%

Transurethral resection of the prostate, bladder explosion and hyponatremic encephalopathy: a rare case report of malpractice

et al. 2017

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“…In each of these cases, room air was noted to have entered the bladder. Bladder rupture was noted at the end of the operation in 11 patients [ 5 , 8 , 11 , 13 , 17 , 21 , 23 ]. The explosion may have been related to gas accumulated in the bladder at the end of the procedure.…”

Section: Discussionmentioning

confidence: 99%

Bladder Explosion during Transurethral Resection of the Prostate with Nitrous Oxide Inhalation

Hirai

Tokumine

Lefor

et al. 2015

Case Reports in Anesthesiology

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Bladder explosions are a rare complication of transurethral resection of the prostate. We report a patient who suffered a bladder rupture following transurethral resection of the prostate. Although explosive gases accumulate during the procedure, a high concentration of oxygen is needed to support an explosion. This rare phenomenon can be prevented by preventing the flow of room air into the bladder during the procedure to maintain a low concentration of oxygen inside the bladder.

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“…Only in 2 cases [2, 12], the repair was delayed for a few hours postoperatively when the patient’s condition started to deteriorate emphasizing the severe nature of the injury. There has been only one previously reported case of laparoscopic management [9].…”

Section: Discussionmentioning

confidence: 99%

Bladder Explosion during Transurethral Resection of the Prostate Repaired Laparoscopically: A Case Report and Review of the Literature

Hammad

Fidal²

2018

Med Princ Pract

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Objective: To report on a case of intravesical explosion during transurethral resection of the prostate (TURP) which was managed laparoscopically and to review the relevant literature. Clinical Presentation and Intervention: During TURP, a loud explosion was heard, and a jolt was felt in the abdomen. A bladder tear was seen endoscopically. Systematic laparoscopic exploration showed no injury to abdominal organs apart from the irregular large bladder tear which was repaired laparoscopically. The patient had an uneventful recovery. Conclusion: Bladder explosion during TURP is an extremely rare and serious complication. It should be considered as a blast injury and systematic exploration of abdominal organs and vessels should be performed. The severity and urgency of the condition should not preclude the use of laparoscopy for exploration and repair.

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Explosion of the urinary bladder during transurethral resection of the prostate

Cited by 4 publications

References 5 publications

Transurethral resection of the prostate, bladder explosion and hyponatremic encephalopathy: a rare case report of malpractice

Transurethral resection of the prostate, bladder explosion and hyponatremic encephalopathy: a rare case report of malpractice

Bladder Explosion during Transurethral Resection of the Prostate with Nitrous Oxide Inhalation

Bladder Explosion during Transurethral Resection of the Prostate Repaired Laparoscopically: A Case Report and Review of the Literature

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