Intra-vesical explosion during transurethral resection of the prostate for benign prostatic hyperplasia

Abstract

Intra-vesical explosion is a very rare complication of Transurethral Resection of the Prostate (TURP). It could lead to different grades of bladder injury ranging from mucosal tears to bladder rupture. We report a case of Intra-vesical explosion with bladder injury that was managed non-operatively. A 67 year old man with 2 year history of severe Lower Urinary Tract Symptoms (LUTS) due to Benign Prostate Hyperplasia (BPH) presented to our hospital. He was scheduled for TURP on account of failed medical treatment. During the operation, a loud explosion occurred. Cystoscopy revealed a partial thickness mucosal tear at the dome of the bladder. He was managed non-operatively by continuous bladder drainage. Although intra-vesical explosion is a rare complication of TURP, its recognition, determination of appropriate bladder injury and institution of appropriate treatment are essentials to forestall further complications to the patient.

Keywords: BPE, Explosive gases, Cystoscopy, Exploration, Bladder injury