Absorption of irrigating fluid duringtransurethral prostatic resection as measured by ethanol, radioisotopes, and regular-interval monitoring

Hjertberg, Hans; Ekberg, Stefan; Hahn, Robert G.; Hultén, Jan O.; Jorfeldt, L.; Svedberg, J.

doi:10.1016/0090-4295(91)80229-z

Cited by 36 publications

(20 citation statements)

References 18 publications

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“…EBEC may be determined rapidly during TURP and has been found to correlate well with the other methods of measuring fluid absorption during prostatic resection [14]. Since 1994 it is available for marketing within the European Union, using as irrigant fluid a solution of 1.5% glycine + 1% ethanol.…”

Section: Discussionmentioning

confidence: 99%

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No Evidence of Fluid Absorption during Continuous Low-Pressure Transurethral Resection of the Prostate: Assessment by Measuring Expiratory Breath Ethanol Concentrations

Aragona¹,

Panza

Mangano

et al. 1999

Eur Urol

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Section: Discussionmentioning

confidence: 99%

“…Although absorbed amounts of !100 cm 3 are difficult to detect [14], the lack of any measurable expired ethanol, even during procedures lasting 1 h and more, seems to indicate that at worst irrigant absorption during continuous flow TURP is minimal and does not exceed clinical tolerance.…”

Section: Discussionmentioning

confidence: 99%

No Evidence of Fluid Absorption during Continuous Low-Pressure Transurethral Resection of the Prostate: Assessment by Measuring Expiratory Breath Ethanol Concentrations

Aragona¹,

Panza

Mangano

et al. 1999

Eur Urol

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“…Previous studies validating the ethanol breath technique have relied mainly on volumetric techniques, and in one study, radioisotopes [24]. In that study only 13 TURPs were assessed and no patient absorbed > 700 mL.…”

Section: Discussionmentioning

confidence: 99%

“…on-table weighing and the ethanol breath test. The latter, which involves marking the irrigating fluid with 1% ethanol and measuring breath ethanol concentrations, has gained popularity [14,[20][21][22][23][24][25]. To date, it has been validated only by its proponents, using volumetric and radioisotope techniques [24].…”

Section: Introductionmentioning

confidence: 99%

Validation of the ethanol breath test and on‐table weighing to measure irrigating fluid absorption during transurethral prostatectomy

et al. 2002

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Objective To determine the agreement between on-table weighing and the ethanol breath test in measuring the fluid absorption of patients during transurethral prostatectomy (TURP), and to assess the practicality of on- (14) g at a mean resection rate of 0.74 g/min. The mean (range) absorption using the balance was 456 ( -343 to 2486) mL, and using the ethanol breath test was 435 (44-2750) mL, with the mean of the differences being -17 mL, with a 95% confidence interval (CI) of -81 to -40, the 95% limits of agreement being -389 to 356 mL (95% CI -458 to -337 and 297 to 418 mL). Conclusions Both methods are comparable and measure irrigating fluid absorption to levels of accuracy that are useful clinically. Either method could (and should) be used in routine practice.

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“…In- and out-flow measurements are highly inaccurate [35]. Further possibilities are gravimetry [36], measurement of the patient's weight and of volumes of the irrigation fluid consumed and recovered [35], or isotopic labelling and measurement [37], or measurement of nitrous oxide [38] or glucose [39], all of which are, however, impracticable in a clinical context. In contrast, the ethanol-monitoring method is simple and safe, and fuel-cell breathalysers are not prone to interference by anaesthetic gases and so on.…”

Section: Discussionmentioning

confidence: 99%

Measurement of Procedure-Specific Irrigation-Fluid Absorption in Transurethral Therapy of Lower Urinary Tract Syndrome, Using Ethanolic Saline and Breath Alcometry

Porsch

Mittelstädt²,

Wendler³

et al. 2016

Urol Int

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Introduction: Transurethral resection risks excessive absorption of irrigating fluid with potentially severe or life-threatening consequences. We determined the amount of absorbed saline irrigation fluid during photoselective vaporisation of the prostate (PVP) and bipolar transurethral resection of the prostate (bTURP). Patients and Methods: Patients at our institution treated by one of these methods were monitored by the alcometric method: ethanol is added to the irrigation fluid and blood alcohol is measured with a breathalyser. Various possible correlations were investigated. Results: Data from 71 patients (36 PVP, 35 bTURP) were analysed. Detection of any absorption was more frequent under bTURP (71% of patients) than under PVP (39%; p = 0.006). Absorption in the volume range 500-1,000 ml was conspicuously more frequent in the bTURP procedure than in PVP. Conclusions: Presence of absorption was more frequent under bTURP than under PVP. However, high-volume absorption was more frequent during bTURP than in PVP.

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Absorption of irrigating fluid duringtransurethral prostatic resection as measured by ethanol, radioisotopes, and regular-interval monitoring

Cited by 36 publications

References 18 publications

No Evidence of Fluid Absorption during Continuous Low-Pressure Transurethral Resection of the Prostate: Assessment by Measuring Expiratory Breath Ethanol Concentrations

No Evidence of Fluid Absorption during Continuous Low-Pressure Transurethral Resection of the Prostate: Assessment by Measuring Expiratory Breath Ethanol Concentrations

Validation of the ethanol breath test and on‐table weighing to measure irrigating fluid absorption during transurethral prostatectomy

Measurement of Procedure-Specific Irrigation-Fluid Absorption in Transurethral Therapy of Lower Urinary Tract Syndrome, Using Ethanolic Saline and Breath Alcometry

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