Independent plasma levels of sodium and glycine during transurethral resection of the prostate

Abstract

The TUR reaction which occurs during or shortly after transurethral resection of the prostate (TURP) has been well described. 1,2 The symptomatology is currently ascribed to acute water intoxication with dilutional hyponatremia as a result of intravascular absorption of a large volarne of electrolyte-free bladder irrigating fluid. 3'4 This explanation does From the M

Computer‐controlled monitoring of bladder pressure in the prevention of ‘TUR syndrome’: a randomized study of 53 cases

“…Faced with this failure, two complementary strategies have been performed well. As the half-life of glycine is short (85 min) and levels always return to normal glycine [4, 23,24]. However, the importance of absorption is often underestimated in the absence of during TURP.…”

The TURP syndrome

“…26 The serum glycine concentration after TURP was elevated to ten times normal levels in one study even though sodium concentrations remained normal. 27 Two of 21 patients in this series had some nausea associated with the elevated glycine concentrations but the others showed no adverse effects.…”

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

“…However, the sodium concentration does not provide reliable, instantaneous information as a time lag must be considered before lowered sodium levels appear following fluid absorption [12]. This is evident when the absorption is predominantly extravascular (for instance, because of a breach in the prostatic capsule): in these cases the hyponatremia is quite small, only about one third of the hyponatremia expected to result from absorption of the same amount of fluid by the intravascular route [12,13].…”