FATAL BLADDER EXPLOSION DURING TRANSURETHRAL RESECTION OF PROSTATE: CASE REPORT AND LITERATURE REVIEW

The transurethral resection of the prostate (TURP) is the gold standard in the operative management of benign prostatic hypertrophy. In the last decade, the technological improvements have reduced perioperative and postoperative complications. The intravesical explosion is one of the most infrequent complications of transurethral procedures. We present the case of a man with bladder outlet obstruction who underwent TURP. After complete resection of the adenoma, an audible blast and a sudden movement were felt at the lower abdomen. Inspection showed posterior wall bladder perforation that was repaired. Postoperative course was complicated by transurethral resection syndrome. This work show an evaluation of the relevant scientific literature available about bladder explosion to define the etiology of this complication, we point out the prevention strategies and

[1]  T. Karatağ,et al.  A Rare Complication of Transurethral Resection of the Prostate: Explosion of the Bladder , 2015 .

[2]  Kallinikas Georgios,et al.  Intravesical explosion during transurethral electrosurgery , 2015, Scottish medical journal.

[3]  E. Jonsson,et al.  Explosion of the urinary bladder during transurethral resection of the prostate , 2014, Scandinavian journal of urology.

[4]  T. Jayakrishnan,et al.  Laparoscopic repair of a rare case of bladder rupture due to intravesical explosion during transurethral resection of the prostate. , 2014, Urology journal.

[5]  Sun-Kyung Park,et al.  Fluid extravasation caused by bladder perforation during bipolar transurethral resection using saline solution -a case report- , 2013, Korean journal of anesthesiology.

[6]  O. Güven,et al.  Intravesical explosion: a rare complication of transurethral resection of prostate , 2013, Journal of Anesthesia.

[7]  A. Horchani,et al.  Intravesical Explosion During Endoscopic Transurethral Resection of A Bladder Tumor , 2011 .

[8]  I. Pearce,et al.  Transurethral resection of the prostate syndrome: almost gone but not forgotten. , 2009, Journal of endourology.

[9]  S. Kim,et al.  Pneumomediastinum due to inadvertent bladder perforation during transurethral resection of the prostate : A case report. , 2009, Korean journal of anesthesiology.

[10]  F. Steinbach,et al.  [Value of transurethral resection of the prostate (TURP) for treatment of symptomatic benign prostatic obstruction (BPO): an analysis of efficiency and complications in 1015 cases]. , 2008, Aktuelle Urologie.

[11]  R. Sroka,et al.  Explosive gas formation during transurethral resection of the prostate (TURP). , 2008, European journal of medical research.

[12]  Alexander Bachmann,et al.  Morbidity, mortality and early outcome of transurethral resection of the prostate: a prospective multicenter evaluation of 10,654 patients. , 2008, The Journal of urology.

[13]  Rainer Hofmann,et al.  Complications of transurethral resection of the prostate (TURP)--incidence, management, and prevention. , 2006, European urology.

[14]  A. C. Lopes Neto,et al.  Vesical explosion during transurethral resection of the prostate: report of a case. , 2006, Archivos espanoles de urologia.

[15]  P. Madhusoodanan,et al.  Intravesical Explosion during Transurethral Resection of Prostate – A Reminder , 2006, Urologia Internationalis.

[16]  M. Naslund,et al.  An examination of treatment patterns and costs of care among patients with benign prostatic hyperplasia. , 2006, The American journal of managed care.

[17]  David C. Horger,et al.  Intravesical explosion during transurethral resection of bladder tumors. , 2004, Journal of Urology.

[18]  Mark Emberton,et al.  EAU 2004 guidelines on assessment, therapy and follow-up of men with lower urinary tract symptoms suggestive of benign prostatic obstruction (BPH guidelines). , 2004, European urology.

[19]  J. Sprung,et al.  Transurethral resection syndrome after bladder perforation. , 2003, Anesthesia and analgesia.

[20]  A. Razack,et al.  Intravesical explosion during transurethral resection of the prostate , 2001, ANZ journal of surgery.

[21]  R. Hahn Trapping of electrolytes during fluid absorption in transurethral resection of the prostate. , 1997, Scandinavian journal of urology and nephrology.

[22]  R. Hahn Irrigating fluids in endoscopic surgery. , 1997, British journal of urology.

[23]  J. W. Segura,et al.  Renal pelvic explosion during conservative management of upper tract urothelial cancer. , 1991, The Journal of urology.

[24]  T. R. Davis The composition and origin of the gas produced during urological endoscopic resections. , 1983, British journal of urology.

[25]  J. Logie,et al.  Fluid absorption during transurethral prostatectomy. , 1980, British journal of urology.

[26]  D. Wingard,et al.  Water intoxication after 15 minutes of transurethral resection of the prostate. , 1979, Anesthesiology.

[27]  D. Atkins,et al.  Bladder explosions during transurethral surgery. , 1975, The Journal of urology.

[28]  H. Kretschmer INTRAVESICAL EXPLOSIONS AS A COMPLICATION OF TRANSURETHRAL ELECTRORESECTION: REPORT OF TWO CASES , 1934 .

[29]  N. Itoh,et al.  Bladder injury due to intravesical explosion during transurethral resection of bladder tumor: a case report , 2013 .

[30]  M. Rezaee Intravesical Explosion during Endoscopic Transurethral Resection of Prostate , 2006 .

[31]  M. Ghei,et al.  Intravesical explosions during transurethral endoscopic procedures , 2006, International Urology and Nephrology.

[32]  R. D. de Petriconi,et al.  [Intravesical explosion during endoscopic resection. Apropos of a case]. , 1984, Journal d'urologie.

[33]  R. I. Hansen,et al.  Bladder explosion during uninterrupted transurethral resection of the prostate. A case report and an experimental model. , 1979, Scandinavian journal of urology and nephrology.