Fluid extravasation caused by bladder perforation during bipolar transurethral resection using saline solution -a...

Area of Science:

• Urology
• Surgical Complications
• Medical Device Technology

Background:

• Transurethral resection of the prostate (TURP) is the standard surgical treatment for benign prostatic hyperplasia (BPH).
• Bipolar TURP using saline offers safety advantages over older methods, reducing transurethral resection syndrome risk.
• Bladder perforation is a known, though infrequent, complication during TURP procedures.

Purpose of the Study:

• To report a rare case of intraperitoneal and retroperitoneal saline extravasation.
• To highlight respiratory difficulties as a consequence of bladder perforation during bipolar TURP.
• To discuss the management and implications of this specific complication.

Main Methods:

• Case report detailing a patient undergoing bipolar transurethral resection of the prostate.
• Description of the surgical event involving bladder perforation and saline extravasation.
• Documentation of the resulting clinical presentation and diagnostic findings.

Main Results:

• Extravasation of 0.9% saline into intraperitoneal and retroperitoneal spaces occurred.
• The patient experienced significant respiratory difficulties secondary to the extravasation.
• The complication was attributed to bladder perforation during the procedure.

Conclusions:

• Bipolar TURP, while generally safe, carries a risk of rare but serious complications like bladder perforation.
• Saline extravasation into abdominal cavities can lead to severe respiratory compromise.
• Vigilance and prompt recognition are crucial for managing such complications effectively.