The TURP syndrome

Jensen, V.

doi:10.1007/bf03009169

Cited by 66 publications

(29 citation statements)

References 33 publications

(11 reference statements)

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“…The ideal liquid must provide good visibility, it must be isotonic, nontoxic, osmotic diuretic, bad electrical conductor and of course inexpensive [4,5]. Although Moskovitz et al showed small changes in serum sodium even when distilled water used as irrigating fluid [6], for safety purposes the manitol-sorbitol solution is used over 20 years in USA and over 10 years in Europe with better results even than glycine [7].…”

Section: Discussionmentioning

confidence: 96%

Changes in serum sodium concentration after transurethral procedures

Georgiadou¹,

Vasilakakis

Meitanidou³

et al. 2007

Int Urol Nephrol

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The aim of this study is to evaluate the changes in serum sodium concentration and the degree of correlation with factors such as the amount of intravenous fluid intake, the kind and the amount of irrigating fluids and the duration of the procedure. In this framework, 98 male patients who underwent transurethral procedure were studied and the correlation between the magnitude of hyponatraemia and the above-mentioned parameters was evaluated. All procedures were performed under spinal anesthesia and a solution of either manitol-sorbitol or sterilized water was used as irrigation fluid. Serum sodium concentration was measured before and after the procedure, while the kind and amount of the irrigating fluids, the amount of fluid intake and the duration of the procedure were also recorded. The patients were divided into three groups according to the duration of the procedure (i) <30 min, (ii) 30-60 min, and (iii) >60 min. Significant reduction in serum sodium concentration was found postoperatively (P < 0.001) and this was more profound in procedures longer than 1 h. This reduction was strongly correlated only with the duration of the transurethral procedure (P < 0.01). In conclusion, in transurethral procedures the reduction in serum sodium is postoperatively related to the duration of the procedure, while the intravenous and irrigating fluids to play no role on it.

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Section: Discussionmentioning

confidence: 96%

Changes in serum sodium concentration after transurethral procedures

Georgiadou¹,

Vasilakakis

Meitanidou³

et al. 2007

Int Urol Nephrol

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“…Because the prostatic gland contains large venous sinuses and because of the chance for prostate capsule perforation, excessive amounts of irrigating fluids might be absorbed into the circulation during TURP [8], causing electrolyte disturbances; hypervolemia, which may deteriorate to pulmonary edema; heart failure; and even cardiorespiratory arrest [9][10][11]. If TURT patients have increased irrigating fluid absorption, it mainly occurs later, by the extravascular route (perforation of urinary bladder), which gives rise to a drop in plasma sodium level, one to 2 hours after surgery [12].…”

Section: Discussionmentioning

confidence: 99%

Comparison of hemodynamic profiles in transurethral resection of prostate vs transurethral resection of urinary bladder tumors during spinal anesthesia: a bioimpedance study

Ezri

Issa

Zabeeda

et al. 2006

Journal of Clinical Anesthesia

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“…Although the term ''water intoxication'' is used, it is appreciated that the signs and symptoms may be related to fluid overload, hyponatraemia, glycine, or ammonia toxicity. 1 It was judged that correct use of the subalgorithm for water intoxication, once the possibility was considered, would have confirmed the diagnosis in all cases, by checking the serum sodium and osmolality, and would have led to definitive management in eight of 10 reports. The remaining two incidents also required a sub-algorithm for hypotension.…”

Section: Discussionmentioning

confidence: 99%