[Occult late extravasation following transurethral electro-resection]

Area of Science:

• Urology
• Surgical Complications
• Gastroenterology

Background:

• Transurethral electro-resection (TUR) and transurethral urethrotomy (TUTUR) are common urological procedures.
• While generally safe, potential complications require careful monitoring.
• Late complications, though rare, necessitate understanding for effective patient management.

Observation:

• This report details two distinct cases of patients experiencing delayed perforations.
• The perforations occurred in the previously operated area several days post-TUR and TUTUR, respectively.
• Radiological evidence confirmed the ruptures in both instances.

Findings:

• Late-onset bladder or urethral perforation is a possible complication following transurethral procedures.
• Despite the severity of perforation, conservative management led to successful healing in both reported cases.
• Early recognition and appropriate conservative treatment are key for managing such delayed complications.

Implications:

• Clinicians should maintain a high index of suspicion for late perforations after TUR and TUTUR.
• Conservative treatment strategies can be effective for managing delayed iatrogenic perforations.
• Further research into risk factors and optimal management protocols for late urological procedural complications is warranted.