Intra-vesical Explosion                         Orient Journal of Medicine                         Vol 30  [1-2] Jan-June, 2018
CASE REPORTS

Intra-vesical Explosion during Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia
Idorenyin C AKPAYAK
Raymond U SWEM
Timothy U MBAERI
Samaila I SHUAIBU

Urology Division
Department of Surgery
Jos University Teaching Hospital
Jos, NIGERIA


Author for Correspondence
Dr Idorenyin C AKPAYAK
Surgery Department
Jos University Teaching Hospital
Jos, NIGERIA.


E-mail: akpayakuro@yahoo.com
Phone: +234 703 212 5825
Received: 25th June.2017
Accepted: 19th July, 2017

DISCLOSURE
The authors declare no conflicting interest
Consent was obtained from the individual reported in the study.
ABSTRACT
Intra-vesical explosion is a very rare complication of Transurethral Resection of the Prostate (TURP). It could lead to different grades of bladder injury ranging from mucosal tears to bladder rupture. We report a case of Intra-vesical explosion with bladder injury that was managed non-operatively. A 67 year old man with 2 year history of severe Lower Urinary Tract Symptoms (LUTS) due to Benign Prostate Hyperplasia (BPH) presented to our hospital. He was scheduled for TURP on account of failed medical treatment. During the operation, a loud explosion occurred. Cystoscopy revealed a partial thickness mucosal tear at the dome of the bladder. He was managed non-operatively by continuous bladder drainage. Although intra-vesical explosion is a rare complication of TURP, its recognition, determination of appropriate bladder injury and institution of appropriate treatment are essentials to forestall further complications to the patient.













Key words: BPE, Explosive gases, Cystoscopy, Exploration, Bladder injury