Laser Bladder Perforation from Photoselective Vaporization of Prostate Resulting in Rhabdomyolysis Induced Acute Renal Failure.

Publication/Presentation Date

6-1-2008

Abstract

Hyponatremia and its related comorbidities remain a concern after traditional transurethral resection of the prostrate (TURP). Photoselective vaporization of the prostate (PVP) laser coagulation therapy is a new, relatively bloodless procedure for treatment of benign prostatic hyperplasia (BPH). Perceived benefits with PVP laser TURP include excellent visualization of the operative field during urethral prostatic tissue vaporization and the reduced incidence of laser penetration through the prostatic capsular fibers once the capsule is reached. Theoretically, this would provide a low risk method of perforation during laser TURP. After literature review, we report this as the first case of laser bladder perforation as a complication arising from PVP therapy. This case report discusses the management of acute hyponatremic induced rhabdomyolysis with acute renal failure (ARF) and the recommendation to use sodium chloride vs. sterile water for bladder irrigation during PVP TURP procedures.

Volume

74

Issue

6

First Page

277

Last Page

280

ISSN

1827-1596

Disciplines

Medicine and Health Sciences | Other Medical Specialties | Surgery

PubMedID

18327155

Department(s)

Department of Surgery, Department of Surgery Faculty

Document Type

Article

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