Laparoscopic repair of bladder explosion during TURP: A case report

Abstract

Bladder explosion leading to bladder rupture during transurethral resection is a very rare intra-operative complication. A74 year's male underwent monopolar transurethral resection of prostate (TURP) for refractory urinary retention with two times failed catheter free trial. After 40 minutes of the procedure, a loud snap was heard during final hemostasis. Bladder rupture was confirmed by clinical and endoscopic findings. Procedure was concluded and 22 Fr 3-way's Foley's catheter kept per urethral. Laparoscopic repair of bladder perforation was done. We should keep it in mind and take all necessary precaution to prevent this complication, so that unnecessary morbidity can be avoided.