Intraperitoneal bladder perforation after TURBT is a dreaded complication that may lead to various sequels such as hemorrhage, peritonitis, urinoma, infection tumor spillage, TUR syndrome
and even death.
Benign prostatic hyperplasia patients who underwent TUR of prostate and died of other than TUR syndrome
In our case, the bladder rupture has provoked, concurrently, extravasation and an intravascular absorption; these conditions have generated a fatal TUR syndrome
This permits better intraoperative visualization, treatment of those at increased risk of bleeding, and has been shown to result in shorter hospital stays, shorter postoperative catheterization, and less electrolyte derangements (TUR syndrome
 (%) Clot retention 1 3.3 Severe hematuria 0 6.4 TUR syndrome
1 2 Perforation 4 0.9 Incontinence 7 NA Our Series (%) Kuntz et al.
1,2 However, several complications such as bleeding, TUR syndrome
, incontinence, urethral stricture and impotence can occur.
Thus, the risk of electrolyte imbalance and development of preoperative TUR syndrome
None experienced hyponatremia or TUR syndrome
, even though 7 of 32 procedures (22%) required more than 120 minutes of operative time.
Previously, post-procedure complications occurred quite frequently, with early complications of bleeding, sepsis, electrolytes imbalance, TUR syndrome
, incontinence, and urinary retention (3).
The use of non-electrolyte solutions has been associated with hyponatraemia (TUR Syndrome
), variable degree of hypo-osmolality.
There are some disadvantages and complications of monopolar TURP, such as bleeding, TUR syndrome
, longer learning curve and prolonged catheterization.[sup.7] In a prospective multicentre trial involving the data of 10 654 patients, morbidity of TURP was reported as high as 11.1%, with a mortality rate of 0.1%.[sup.8] Many investigations compared the outcomes and safety of plasmakinetic technology with monopolar TURP.[sup.1]-[sup.3,6] They concluded that plasmakinetic surgery maintained similar results with monopolar TURP with less morbidity.
In the peri-operative period, according to the Sataua classification, urethral injury occurred in 3 patients (grade 1) and TUR syndrome
occurred in 1 patient (grade 2B) in endoscopic group.