Individualized management of extraperitoneal bladder perforation after transurethral resection of bladder tumor: a report of two distinct cases
DOI:
https://doi.org/10.18203/2349-2902.isj20194449Keywords:
Bladder perforation, Extraperitoneal, Bladder tumor resection, Bladder rupture, Bladder injuryAbstract
Transurethral resection of bladder tumor represents the most common cause of bladder injury. Several factors such as the presence of a tumor itself, the wall thickness, the use of extensive cautery or obturator nerve jerk may lead to bladder perforation. Due to the anatomical site of the bladder, the perforation is extraperitoneal in most of the cases and bladder catheterization alone is sufficient for treatment. In several cases, urine reabsorption can be life-threatening and therefore more active treatment is needed. We present two distinct cases of extraperitoneal bladder perforation which presented with a different clinical image and were treated unexpectedly.
Metrics
References
El Hayek OR, Coelho RF, Dall'oglio MF, Murta CB, Ribeiro Filho LA, Nunes RL, et al. Evaluation of the incidence of bladder perforation after transurethral bladder tumor resection in a residency setting. J Endourol. 2009;23:1183-6.
Collado A, Chéchile GE, Salvador J, Vicente J. Early complications of endoscopic treatment for superficial bladder tumors. J Urol. 2000;164(5):1529-32.
Balbay MD, Cimentepe E, Unsal A, Bayrak O, Koç A, Akbulut Z. The actual incidence of bladder perforation following transurethral bladder surgery. J Urol. 2005;174(6):2260-2.
Cordon BH, Fracchia JA, Armenakas NA. Iatrogenic nonendoscopic bladder injuries over 24 years: 127 cases at a single institution. Urology. 2014;84(1):222-6.
Golan S, Baniel J, Lask D, Livne PM, Yossepowitch O. Transurethral resection of bladder tumour complicated by perforation requiring open surgical repair- clinical characteristics and oncological outcomes. BJU Int. 2011;107(7):1065-8.
Patel BN, Gayer G. Imaging of iatrogenic complications of the urinary tract: kidneys, ureters, and bladder. Radiol Clin North Am. 2014;52(5):1101-16.
Traxer O, Pasqui F, Gattegno B, Pearle MS. Technique and complications of transurethral surgery for bladder tumours. BJU Int. 2004;94(4):492-6.
Vakili B, Chesson RR, Kyle BL, Shobeiri SA, Echols KT, Gist R, Zheng YT, et al. The incidence of urinary tract injury during hysterectomy: A prospective analysis based on universal cystoscopy. Am J Obstet Gynecol. 2005;192:1599-604.
Figler BD, Hoffler CE, Reisman W, Carney KJ, Moore T, Feliciano D, et al. Multi-disciplinary update on pelvic fracture associated bladder and urethral injuries. Injury. 2012;43(8):1242-9.
Lumen N, Kuehhas FE, Djakovic N, Kitrey ND, Serafetinidis E, Sharma DM, et al. Review of the current management of lower urinary tract injuries by the EAU Trauma Guidelines Panel. Eur Urol. 2015;67(5):925-9.
Downloads
Published
How to Cite
Issue
Section
