Intravesical explosion during transurethral resection of the prostate

Transurethral resection of prostate (TURP) is the most common operation performed for obstruction secondary to prostatic enlargement. Though considered as a safe procedure, occasionally life-threatening complications may be seen. Intravesical explosion, secondary to ignition by diathermy of the accumulated mixture of hydrogen, hydrocarbons and higher concentration of oxygen, is a rarely reported complication (only 38 cases reported until). We are reporting a 60-year-old man suffering from benign prostatic hyperplasia in whom during TURP bladder explosion occurred which was suspected early and immediately explored and repaired leading to a favourable outcome.

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“…Though some surgeons suggest cystography to confirm rupture but others suggest exploration on clinical suspicion as we did 12…”

Section: Discussionmentioning

confidence: 82%

Intraperitoneal bladder explosion during transurethral surgery

Gupta

Gupta²

2019

BMJ Case Rep

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“…In all cases, a large explosive sound was heard usually toward the end of surgery and mainly when cauterizing the anterior prostatic fossa. Intraperitoneal injury was found in most of the cases, and only in 2 cases the injury was extraperitoneal [1, 2]. By definition, intravesical explosion during TURP is classified as a blast injury [7].…”

Section: Discussionmentioning

confidence: 99%

“…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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“…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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Intravesical explosion during transurethral resection of the prostate

Cited by 9 publications

References 5 publications

Intraperitoneal bladder explosion during transurethral surgery

Intraperitoneal bladder explosion during transurethral surgery

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

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

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