yemenjmedYemen Journal of MedicinecoVolume 2 Issue 1MultidisciplinaryEnglishJanuary - April 2023 NNY20230510ArticleVesical explosion during transurethral resection of prostate: A dreadful complication associated with common endoscopic procedureEnglishY5153Muftah HElkhafifi1EnglishNKhalifa SMohamed1EnglishYAli ABookish1EnglishY10.32677/yjm.v2i1.3755Vesical explosion during transurethral resection of the prostate (TURP) is an extremely rare, serious and dreadful complication, which should be considered as a blast injury requiring urgent exploratory laparotomy and repair. Until 2019, only 38 cases have been reported in the International English literature. The underlying mechanism for this rare intravesical explosion is the generation and trapping of explosive gases under the dome of the bladder, which eventually detonates by sparks from the cutting electrode during TURP. Herein, we report a case of a 67- years- old man where an explosion occurred during TURP, resulting in a large intraperitoneal rupture of the urinary bladder. After confirmation of the diagnosis clinically, endoscopically and radiologically, the patient underwent a successful emergency laparotomy to repair the bladder tear. He had uneventful postoperative recovery, and he is symptoms free at 6 months and one year of follow-up. Although uncommon, vesical explosion during TURP may occur and some preventive measures, discussed here, can be carried out to avoid this dreadful complication. In addition to the discussion of its mechanism, we will discuss the preventive measures of this dreadful event. To the best of our knowledge, this is the first case of a Vesical explosion reported in our department.EnglishBenghazi, Benign prostatic hyperplasia, Bladder explosion, Electrocautery, Explosive gases, Repair, Transurethral resection of the prostatehttps://yemenjmed.com/admin/abstract?id=52References1619Bartolo DD, Ausania F, Gennaro UD et al. Fatal bladder explosion during transurethral resection of prostate:and;nbsp; Case report and literature review. Jand;nbsp; Postgrad Med Inst 2017; 31(2): 203-208. Black L, Naslund MJ, Gilbert TD et al. Anand;nbsp; examinationand;nbsp; ofand;nbsp; treatmentand;nbsp; patternsand;nbsp; andand;nbsp; costsand;nbsp; ofand;nbsp; careand;nbsp; amongand;nbsp; patientsand;nbsp; withand;nbsp; benignand;nbsp; prostaticand;nbsp; hyperplasia.and;nbsp; Am J Manag Care 2006; 12:S99-S110. Horger DC, Babanoury A.and;nbsp; Intravesical explosion during transurethral resection of bladder tumors.and;nbsp; Jand;nbsp; Urol 2004; 172:1813. Kass-Iliyya A, Warren K. 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