Vesical explosion during transurethral resection of prostate: A dreadful complication associated with common endoscopic procedure

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ID: 311191
2023
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Abstract
Vesical explosion during transurethral resection of the prostate (TURP) is an extremely rare, serious and dreadful complication, which should be considered as a blast injury requiring urgent exploratory laparotomy and repair. Until 2019, only 38 cases have been reported in the International English literature. The underlying mechanism for this rare intravesical explosion is the generation and trapping of explosive gases under the dome of the bladder, which eventually detonates by sparks from the cutting electrode during TURP. Herein, we report a case of a 67- years- old man where an explosion occurred during TURP, resulting in a large intraperitoneal rupture of the urinary bladder. After confirmation of the diagnosis clinically, endoscopically and radiologically, the patient underwent a successful emergency laparotomy to repair the bladder tear. He had uneventful postoperative recovery, and he is symptoms free at 6 months and one year of follow-up. Although uncommon, vesical explosion during TURP may occur and some preventive measures, discussed here, can be carried out to avoid this dreadful complication. In addition to the discussion of its mechanism, we will discuss the preventive measures of this dreadful event. To the best of our knowledge, this is the first case of a Vesical explosion reported in our department.
Reference Key
2026vesical Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Muftah H Elkhafifi, Khalifa S Mohamed, Ali A Bookish
Journal Yemen Journal of Medicine
Year 2023
DOI
10.32677/yjm.v2i1.3755
URL
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