Causes Analysis of 35 Patients with Bladder Tamponade Induced by Early Bleeding after Transurethral Plasmakinetic Resection of Prostate
HE Yun-sheng
LIU Xiao-bo
Abstract：Objective To explore the causes of bladder tamponade induced by early bleeding after transurethral plas-makinetic resection of prostate (PKRP). Methods Clinical data of 35 patients with bladder tamponade induced by early bleeding within 24 h after PKRP during January 2005 and January 2012 was retrospectively analyzed. Results All the pa-tients underwent routine PKRP of successful operation process, 28 patients had bladder tamponade within 6 h after the opera-tion, and 7 patients had bladder tamponade within 6 - 12 h after the operation, 19 patients suffered severe pain in lower abdo-men, bright red washing fluid or contraflow with washing fluid; 16 patients did not complain with contraflow, stopping or wave-like movement of washing fluid. All the 35 patients were confirmed with having the bladder tamponade by B ultrasound exami-nation, and underwent washing the blood clot under the microscope, electric coagulation hemostasis, transurethral clot or tran-surethral residual small glands electric coagulation treatment accordingly, and then were discharged 5 d after the treatment. No one patient had bleeding with normosthenuria with 2 - 7 years of follow-up. Conclusion Cystospasm is the high risk factor of bladder tamponade induced by early bleeding within 24 h after transurethral plasmakinetic resection of prostate, so clinicians should pay more attention especially to patients without obvious abdomen pain of cystospasm, and perform the B-mode ultra-sonography to avoid delay in diagnosis and treatment.
Keywords：Transurethral resection of prostateComplicationBladder diseaseCause analysis
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 93-95 )