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- Title
Analysis of 3cases of bladder explosion in transurethral plasma prostatectomy.
- Authors
Ding-Yi Liu; Yan Zhou; Wei-Mu Xia
- Abstract
Objective: To investigate the causes of bladder explosion during transurethral plasmakinetic resection of prostate and to explore effective measures to reduce the risk of bladder explosion. Methods: The treatment process of bladder rupture (2cases) and bladder muscle layer laceration (1case) during transurethral plasmakinetic resection of prostate were retrospectively analyzed. Results: Two cases with intra-peritoneal rupture were cured by open surgery, and 1case with bladder muscle layer laceration was cured by conservative treatment. The main cause of bladder explosion is that: the flammable gas produced during the resection of prostate tissue mixed with the gas from the outside into the bladder to a certain proportion, in the action of electric spark, causing gas explosion. Conclusions: Using dorsal elevated position, shortening operative time, and reducing gas entering the bladder are three key points to prevent bladder explosion.
- Subjects
TRANSURETHRAL prostatectomy; BLADDER diseases; BLADDER rupture; PROSTATE; PERITONEAL dialysis
- Publication
Journal of Hainan Medical University, 2021, Vol 27, Issue 3, p59
- ISSN
1007-1237
- Publication type
Article