The use of Transurethral resection of the prostate (TURP) has been in practice since the early 20th century. TURP remains the single best standard against which the effectiveness and safety of other interventions for lower urinary tract symptoms associated with benign prostatic hyperplasia (LUTS/BPH) are measured. Bladder rupture due to Intravesical explosion is a rarely reported complication, and it was first reported in English literature in 1926. This article presents a case of a 57-year-old man with irritative and obstructive complaints without improvement under alpha-blocker treatment. The patient had a bladder rupture during TURP due to an intravesical explosion. Bladder rupture was confirmed with retrograde cystography and CT scan, revealing intraperitoneal perforation. The patient underwent an emergent laparotomy with bladder repair. We should be aware of the complications during TURP and take all necessary precautions to prevent these complications, including baldder perforation, so that unnecessary morbidity can be avoided.
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