CODE: 4 - Intravesical explosion during transurethral resection of the prostate. Case report
Article published in Urologia Polska 2006/59/Suplement 1.

authors

Janusz Ławiński, Hubert Kuźniar, Jacek Tereszkiewicz

Oddział Urologii Wojewódzkiego Szpitala Specjalistycznego w Rzeszowie

summary

Introduction. Intravesical explosion during endoscopic resection is rare but may be devastating in effect. During electrosurgical intravesical procedures electrolysis of intracellular water and carbonization of tissues takes place. It produces a lot of hydrogen, when mixed with atmospheric oxygen (during bladder irrigation) becomes highly explosive formation. Gases may explode when electrocautery is used. Intravesical explosion often results in bladder rupture.

Materials and methods. A case of intravesical explosion with multiple bladder ruptures during transurethral resection of the prostate (TURP) is reported. In this case conservative treatment was administered.

Results. Hospitalization time was 33 days postop. Two months after TURP, urinary peak flow was 17 ml/sec and the patient was fully continent.

Conclusions. Conservative approach resulted in long term of postop. hospitalization in this case. To prevent intravesical explosion it is necessary to remove most of the air bubble from the bladder and to use a coagulation current of moderate power.