Intravesical explosion: a rare complication of transurethral resection of prostate

Oğuz, Gonca; Subasi, D. S.; Kaya, Menşure; Güven, Oğuz; Ünver, Süheyla

doi:10.1007/s00540-012-1474-7

Cited by 8 publications

(11 citation statements)

References 3 publications

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“…Therefore, surgeons should carefully monitor the amount of air, and thus sufficient amount oxygen to generate an explosive mixture that penetrates the bladder during a TURP. Various measures have been reported to limit this possibility and to avoid the risk of bladder explosion during a TURP [20-21]. These measures regard the surgeon activity and the team medical activity (Table 2).…”

Section: Discussionmentioning

confidence: 99%

“…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%

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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%

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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“…The intravesical explosion during TURP can cause bradycardia and hypotension, accompany with nausea, abdominal pain and developed confusion [1]. But this complication usually manifested as a “pop” and can be identified by the urologists and anesthesiologists.…”

Section: Discussionmentioning

confidence: 99%

“…Hypotension and bradycardia are complications of TURP, the primary causes are TURP syndrome, hemorrhage and bladder perforation [1, 2], high spinal anesthesia is also a common cause [3]. But we report other two cases who presented sudden and severe hypotension and bradycardia during greenlight laser TURP which wasn’t due to reasons above, but due to parasympathetic reflex.…”

Section: Introductionmentioning

confidence: 92%

Sudden occurence of hypotension and bradycardia during greenlight laser transurethral resection of prostate: case report of two cases

Guo

Liu

2015

BMC Anesthesiol

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BackgroundGreenlight laser transurethral resection of prostate (TURP) is a standard surgical method used to treat patients with prostate gland enlargement, it is safe and effective.Case presentationWe report two cases of sudden occurence of hypotension and bradycardia during greenlight laser TURP. Two patients with benign prostatic hypertrophy were scheduled for greenlight laser TURP under spinal anesthesia. Hypotension and bradycardia were suddenly occurred during the operation. The blood gas analysis revealed no hyponatremia (indicating TURP syndrome) or anemia (indicating hemorrhage). Operation was suspended and inotropic agents were administrated intravenous immediately, then blood pressure and heart rate increased to normal level within some minutes. The patients were discharged from hospital without any complications. We considered parasympathetic reflex was occurred during greenlight laser TURP.ConclusionApart from TURP syndrome, hemorrhage, bladder perforation and high spinal anesthesia, the parasympathetic reflex which is caused by operative process can also induce hypotension and bradycardia during TURP.

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“…Commonly, two modalities as monopolar and bipolar have been used for resection (1). A rare complication of transurethral resection is the explosion of the bladder as may occur during resection of the prostate (2,3,4,5,6,7,8,9). The underlying mechanism for the explosion is thought to be a result of ignition due to mixture of oxygen and hydrogen gases occurring during the resection under increased pressure of the bladder (10).…”

Section: Introductionmentioning

confidence: 99%

A Rare Complication of Transurethral Resection of the Prostate: Explosion of the Bladder

Buldu¹,

Karatag²,

Kaynar³

et al. 2015

jus

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Monopolar and bipolar transurethral resection of the prostate is currently the gold standard modality in the treatment of bladder outlet obstruction due to prostatic enlargement. A rare complication of transurethral resection is the explosion of the bladder as may occur during resection of the prostate. The etiology of explosion is thought to be a result of ignition due to mixture of oxygen and hydrogen gas occurring during the resection under increased pressure of the bladder. To the best of our knowledge, our case is the first report of bladder explosion during transurethral resection with bipolar energy using saline solution.

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Intravesical explosion: a rare complication of transurethral resection of prostate

Cited by 8 publications

References 3 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

Sudden occurence of hypotension and bradycardia during greenlight laser transurethral resection of prostate: case report of two cases

A Rare Complication of Transurethral Resection of the Prostate: Explosion of the Bladder

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