Fatal bladder explosion during transurethral resection of prostate: Case report and literature review

The transurethral resection of the prostate (TURP) is the gold standard in the operative management of benign prostatic hypertrophy. In the last decade, the technological improvements have reduced perioperative and postoperative complications. The intravesical explosion is one of the most infrequent compli- cations of transurethral procedures. We present the case of a man with bladder outlet obstruction who underwent TURP. After complete resection of the ade- noma, an audible blast and a sudden movement were felt at the lower abdo- men. Inspection showed posterior wall bladder perforation that was repaired. Postoperative course was complicated by transurethral resection syndrome. This work show an evaluation of the relevant scientific literature available about bladder explosion to define the etiology of this complication, we point out the prevention strategies and discuss the possible connection between these unusual complications.