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[Intraperitoneal bladder rupture during transurethral resection of the prostate]
Gilles Morin1, Sébastien Vincendeau, Andréa Manunta
1Service d'Urologie, CHU Pontchaillou, 35033 Rennes, France. gmorin35@yahoo.fr
Summary
Bladder explosions, a rare surgical complication, occur due to gas release during electrocoagulation. Precautions can limit the risk of these dangerous events during procedures like transurethral resection of the prostate.
Area of Science:
- Urology
- Surgical Complications
- Biomedical Engineering
Background:
- Bladder explosions are a rare but serious complication during endoscopic surgery.
- They result from massive cellular hydrolysis during electrocoagulation, producing explosive gas mixtures.
Observation:
- Oxygen can enter the bladder through resector manipulation, improper Ellick evacuator use, or irrigation tubing air bubbles.
- A case of intraperitoneal bladder rupture during transurethral resection of the prostate is reported.
Findings:
- Electrocoagulation in the bladder can generate explosive gases.
- Introduction of oxygen into the bladder significantly increases explosion risk.
Implications:
- Implementing specific precautions during endoscopic bladder surgery is crucial for patient safety.
- Understanding gas dynamics and oxygen ingress is key to preventing bladder explosions.