Intravesical Explosion during Transurethral Resection of Prostate - a reminder

Area of Science:

• Urology
• Surgical Complications
• Medical Device Safety

Background:

• Transurethral resection of the prostate (TURP) is a common procedure for benign prostatic hyperplasia.
• Intravesical explosion is an extremely rare but severe complication during TURP.
• The exact mechanism involves the formation of explosive gases within the bladder mixed with air.

Observation:

• A case of intravesical explosion during TURP leading to bladder rupture is presented.
• The event occurred at the authors' institution.
• The management of bladder rupture following intravesical explosion is discussed.

Findings:

• Intravesical explosion during TURP, though rare, can result in bladder rupture.
• The formation of explosive gases and air admixture is the suspected cause.
• Despite its catastrophic potential, the condition is preventable.

Implications:

• This rare complication highlights the need for vigilance during TURP procedures.
• Implementing specific preventive measures can significantly reduce the risk of intravesical explosion.
• Awareness and adherence to safety protocols are crucial for patient safety during TURP.