Intravesical explosion during transurethral electrosurgery

Scott Med J. 2015 May;60(2):e25-6. doi: 10.1177/0036933015572091. Epub 2015 Feb 12.

Abstract

Intravesical explosion is a very rare complication of transurethral resection of prostate and transurethral resection of bladder tumour operations. In vitro studies have shown that the gases produced during the procedure could result in a blast once they are mixed with air from the atmosphere. A 79-year-old male experienced an explosion in his bladder while undergoing a transurethral resection of bladder tumour. The case is presented as well as the way that it was treated as an emergency. Precautions of such events are finally suggested.

Keywords: Diathermy; electrosurgery; explosions; transurethral resection of prostate; urinary bladder neoplasms.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Electrosurgery / adverse effects*
  • Emergency Treatment
  • Explosions
  • Humans
  • Intraoperative Complications / etiology
  • Intraoperative Complications / surgery*
  • Laparotomy*
  • Male
  • Rupture
  • Treatment Outcome
  • Urinary Bladder / injuries*
  • Urinary Bladder / surgery*
  • Urinary Bladder Neoplasms / pathology
  • Urinary Bladder Neoplasms / surgery*