Intravesical explosion during transurethral electrosurgery

Area of Science:

• Urology
• Surgical Complications
• Medical Device Safety

Background:

• Transurethral resection of bladder tumor (TURBT) and transurethral resection of prostate (TURP) are common urological procedures.
• In vitro studies suggest that gases generated during these procedures can form explosive mixtures with air.
• Intravesical explosion is a documented but extremely rare complication.

Observation:

• A 79-year-old male patient experienced an intravesical explosion during a TURBT procedure.
• The patient required emergency treatment following the event.
• The explosion occurred within the bladder during the surgical intervention.

Findings:

• The case confirms the potential for intravesical explosions during TURBT, linking it to gas accumulation and ignition.
• Analysis of the event suggests a critical interaction between surgical gases and atmospheric air within the bladder.
• Successful emergency management was implemented for the patient.

Implications:

• Highlights the need for heightened awareness and preventative measures during TURBT and similar procedures.
• Suggests a review of surgical protocols to mitigate the risk of intravesical gas explosions.
• Emphasizes the importance of prompt emergency response for managing such rare but severe complications.