The Actual Incidence of Bladder Perforation Following Transurethral Bladder Surgery

Balbay, M.D.; Çimentepe, Ersin; Ünsal, Ali; Bayrak, Ömer; Koç, Akif; Akbulut, Ziya

doi:10.1097/01.ju.0000181811.61199.35

Cited by 120 publications

(71 citation statements)

References 16 publications

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“…6,11 Some degree of drug extravasion in patients undergoing complete, correct TURBT remains unrecognised because cystography is not routine. 34 This might have contributed to the high rate of persistent lower urinary-tract symptoms in our study.…”

Section: Discussionmentioning

confidence: 81%

Electromotive instillation of mitomycin immediately before transurethral resection for patients with primary urothelial non-muscle invasive bladder cancer: a randomised controlled trial

Stasi

Valenti

Verri

et al. 2011

The Lancet Oncology

122

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SummaryBackground The clinical eff ect of intravesical instillation of chemotherapy immediately after transurethral resection of bladder tumours (TURBT) has recently been questioned, despite its recommendation in guide lines. Our aim was to compare TURBT alone with immediate post-TURBT intravesical passive diff usion (PD) of mitomycin and immediate pre-TURBT intravesical electromotive drug administration (EMDA) of mitomycin in non-muscle invasive bladder cancer.

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Section: Discussionmentioning

confidence: 81%

Electromotive instillation of mitomycin immediately before transurethral resection for patients with primary urothelial non-muscle invasive bladder cancer: a randomised controlled trial

Stasi

Valenti

Verri

et al. 2011

The Lancet Oncology

122

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“…Initial therapy for bladder perforation is adequate bladder drainage, with only a small percentage of patients requiring surgery (1,3). In patients following TURBT, CT urography is a useful modality to evaluate complications such as perforation and to delineate relevant post surgical anatomy.…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Extraperitoneal Bladder Perforation Following Transurethral Bladder Surgery: Imaging with CT Urography

Mannelli¹,

Gross²,

Medverd³

et al. 2013

Int. braz j urol.

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An 80 year-old man presented to his primary care physician with painless gross hematuria. He reported having intermittent episodes of pink urine containing small clots for about three months. He was initially treated with a single course of ciprofloxacin for presumed urinary tract infection. His symptoms did not improve with antibiotic therapy and he was then referred to our institution for a computed tomography (CT) urogram. CT urogram showed a 4 x 3.6 centimeter (cm) infiltrating solid mass along the left lateral posterior wall of the urinary bladder ( Figure-1). Tumor also extended along the bladder dome. Prostate enlargement and bladder diverticula were also present. He was referred to the urology service and subsequently underwent transurethral resection of bladder tumor (TURBT) with fulguration. No intraoperative complications were noted and he returned to the recovery room in satisfactory condition on continuous bladder irrigation. Pathologic examination revealed a 5 cm transitional cell carcinoma with high grade growth pattern invading the deep muscular layer.On postoperative day one, the patient reported abdominal pain and general discomfort. Physical exam revealed a grossly distended abdomen which was tender to palpation with positive guarding and decreased bowel sounds. He

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“…Balbay et al demonstrated that up to 58% of TURBTs resulted in contrast extravasation through small and otherwise asymptomatic extraperitoneal perforations. 5 There is no information on the incidence of intraperitoneal perforation. With intraperitoneal perforation, there is a risk of bowel injury.…”

Section: Introductionmentioning

confidence: 99%

A minimally invasive approach to transperitoneal perforation of the bladder during bladder tumour resection

Bishay

Honey

2016

CUAJ

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The authors present a case of intraperitoneal rupture of the bladder during transurethral resection of a bladder tumour (TURBT), which was managed conservatively. By passing a urethroscope -which was smaller in diameter than the perforation -through the hole, a small superficial burn was identified on the adjacent bowel and deemed benign, saving this patient with multiple comorbidities from having to undergo an open laparotomy. The bladder was drained with a Foley catheter to allow the perforation to heal and the patient was discharged without incident. By using this approach, a direct view of the neighbouring structures confirmed the integrity of bowel and prevented the need for increased risks associated with a laparotomy.

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The Actual Incidence of Bladder Perforation Following Transurethral Bladder Surgery

Abstract: The extravasation of urine (asymptomatic perforation) after transurethral bladder tumor resection may occur much more frequently than believed or reported. It seems that this extravasation does not impose a significant risk of extravesical tumor seeding.

Cited by 120 publications

References 16 publications

Electromotive instillation of mitomycin immediately before transurethral resection for patients with primary urothelial non-muscle invasive bladder cancer: a randomised controlled trial

Electromotive instillation of mitomycin immediately before transurethral resection for patients with primary urothelial non-muscle invasive bladder cancer: a randomised controlled trial

Symptomatic Extraperitoneal Bladder Perforation Following Transurethral Bladder Surgery: Imaging with CT Urography

A minimally invasive approach to transperitoneal perforation of the bladder during bladder tumour resection

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