Brawijaya Journal of Urology
Vol. 6 No. 03 (2026): Brawijaya Journal of Urology

A Case Report with Rare Complication: Bladder Explosion During Transurethral Resection of Prostate (TURP)

Sani, Muhammad Mahbubi (Unknown)
Surahmad, Fakhri (Unknown)
Santoso, Sonny Agus (Unknown)
Setiawan, Bekti (Unknown)



Article Info

Publish Date
01 Mar 2026

Abstract

Introduction. Transurethral Resection of the Prostate (TURP) remains the gold standard procedure for treating Benign Prostatic Hyperplasia (BPH). Although this procedure has proven to be effective, it carries the risk of complications, including rare complications such as bladder explosion. Bladder explosion can occur due to the accumulation of flammable gases, especially hydrogen during electrocauterization. Case. A 71-year-old man with a medical history of recurrent urinary retention underwent monopolar TURP. During the procedure, a burst sound was heard followed by a 7 cm bladder perforation on the anterior wall. Urgent bladder repair was performed with exploration and placement of cystotomy and retroperitoneal drain. The patient underwent postoperative recovery and the follow-up showed good results. Conclusion. Bladder explosion is a rare but serious complication of monopolar TURP that requires immediate surgical intervention. Increased awareness and implementation of preventive strategies can minimize the risk of this complication and reduce patient morbidity.

Copyrights © 2026






Journal Info

Abbrev

bju

Publisher

Subject

Health Professions Medicine & Pharmacology

Description

Brawijaya Journal of Urology conveys regularly the essential results of urological research and their practical and clinical relevance to a broad audience of urologists in research and clinical practice. To guarantee a balanced program, articles are published to reflect the developments in all ...