Transurethral resection of prostate syndrome: report of a case

Boukatta, Brahim; Sbai, Hicham; Messaoudi, Ferdaous; Lafrayiji, Zakaria; Bouazzaoui, Abderrahim El; Kanjaa, Nabil

doi:10.11604/pamj.2013.14.14.1906

Cited by 10 publications

(19 citation statements)

References 14 publications

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“…In our studies, examining MetS and hypertension among African American women, we found that both systolic and diastolic blood pressure were associated with waist circumference, but not BMI and % body weight [ 51 ]. Thus, the conventional notion that insulin resistance is pivotal for CVD and hypertensive events does not appear to be supported in African American women, consistent with several previous reports in insulin resistant, nondiabetic, obese African Americans [ 20 , 21 , 25 ] and Black South African women [ 23 , 31 , 34 , 39 , 40 ], and native Ghanaians [ 4 , 24 ] in contrast with those of white women. High blood pressure or its surrogate e.g., chronic kidney disease, microalbuminuria are more prevalent in black PAA than whites.…”

Section: Criteria Of Metabolic Syndrome Using the National Cholestsupporting

confidence: 84%

“…Other studies in SSA found higher prevalence rates of MetS. For example, Katchunga et al [ 31 ] found the MetS prevalence to be 43.6% among Congolense with at least one major cardiovascular risk factor. Note however, that in this study, the subjects were recruited based on having one prior CVD factor.…”

Section: Criteria Of Metabolic Syndrome Using the National Cholestmentioning

confidence: 99%

“…Both diseases are undoubtedly increasing in SSA developing countries. Both diseases contribute significantly to CVD in blacks and whites [ 17 , 18 , 19 , 20 , 21 , 31 , 32 , 33 , 34 , 35 , 36 ]. In particular, PAA, especially women, have greater rates of CVD morbidity and mortality than white women probably due to higher rates of obesity, type 2 diabetes, hypertension, strokes and congestive heart failure and physical inactivity [ 22 , 25 , 36 ].…”

Section: Criteria Of Metabolic Syndrome Using the National Cholestmentioning

confidence: 99%

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Consequences of Abdominal Adiposity within the Metabolic Syndrome Paradigm in Black People of African Ancestry

Gaillard

2014

JCM

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The metabolic syndrome (MetS) is a constellation of risk factors that are associated with increased risks for coronary heart disease and type 2 diabetes. Although the cause is unknown, abdominal adiposity is considered the underpinning of these metabolic alterations. Hence, increased abdominal adiposity contributes to dyslipidemia, hyperglycemia, beta cell dysfunction, insulin resistance, hypertension and inflammation. The role of abdominal adiposity in the causation of metabolic alterations that lead to the clinical expression of the MetS has become a focus of active research. In addition, there are ethnic/racial differences in the manifestation of the MetS. Therefore, the focus of this current review is to: (1) explore the consequences of abdominal obesity within the MetS paradigm; and (2) discuss the impact of ethnicity/race on MetS in Black People of African Ancestry (PAA).

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Section: Criteria Of Metabolic Syndrome Using the National Cholestsupporting

confidence: 84%

Section: Criteria Of Metabolic Syndrome Using the National Cholestmentioning

confidence: 99%

Section: Criteria Of Metabolic Syndrome Using the National Cholestmentioning

confidence: 99%

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Consequences of Abdominal Adiposity within the Metabolic Syndrome Paradigm in Black People of African Ancestry

Gaillard

2014

JCM

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“…However, this procedure potentially leads to a complication known as TURP syndrome (Hahn et al, 2000). Transurethral resection of prostate syndrome is clearly defined as excessive irrigation fluid absorption leading to hyponatremia and hypervolemia (Gupta et al, 2010;Demirel et al, 2012;Boukatta et al, 2013). This syndrome is characterized by mental confusion, nausea and vomiting, hypertension, bradycardia and visual impairment.…”

Section: Introductionmentioning

confidence: 99%

Nursing assessment of TURP syndrome: a pilot study

Subrata

Istanti

Kesetyaningsih

2018

Int J of Uro Nursing

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How can the signs and symptoms of transurethral resection prostate (TURP) syndrome be identified by nurses? This study aimed to develop a nursing instrument to assess TURP syndrome. TURP syndrome is a complication that potentially occurs during TURP surgery. It is a water intoxication related to hyponatremia and acid‐based imbalance. This syndrome should be recognized early in order to prevent fatality. This pilot study employed a participatory action research combined with statistical analysis for validity and reliability testing. Twenty‐eight Indonesian urological nurses and one urologist medical doctor were engaged in this study. Informed consent was obtained before study outset. The study was entirely accomplished at Muhammadiyah Hospital I and II, Yogyakarta, Indonesia. Pearson's correlations test of each item was measured with correlation coefficient greater than 0·40 considered as evidence of satisfactory item convergence validity. The instrument reliability test was confirmed by Cronbach's α coefficients with score greater than 0·433 supposed as a reliable instrument. This study obtained a nursing instrument to assess TURP syndrome which involved 15 aspects as follows: disorientation, headaches, altered states of consciousness, visual disturbances, nausea and vomiting, hypertension, rhonchi sound, tachycardia, abnormal capillary refill‐time, tachypnea, hyponatremia, hyperkalemia, anaemia, increased urea and creatinine, and lower‐extremities oedema. A nursing instrument to assess TURP syndrome was established. Nevertheless, further investigation is required among patients who are suspected of having TURP syndrome to increase instrument accuracy.

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“…In 1956, the clinical picture was summarized as “dilutional hyponatremic shock,” due to the severe arterial hypotension and even cardiovascular collapse that occurs postoperatively 4-7. Although the incidence of this syndrome is decreasing, complete or incomplete forms of TUR syndrome occur in up to 5% percent of patients in some case series of TURPs performed with monopolar electrocautery 8-10.…”

Section: Introductionmentioning

confidence: 99%

Fluid volume kinetics of dilutional hyponatremia; a shock syndrome revisited

Hahn¹,

Gebäck²

2014

Clinics

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OBJECTIVE:To evaluate whether the pathophysiology of shock syndromes can be better understood by comparing central hemodynamics with kinetic data on fluid and electrolyte shifts.METHODS:We studied the dilutional hyponatremic shock that developed in response to overhydration with electrolyte-free irrigating fluid – the so-called ‘transurethral resection syndrome' – by comparing cardiac output, arterial pressures, and volume kinetic parameters in 17 pigs that were administered 150 ml/kg of either 1.5% glycine or 5% mannitol by intravenous infusion over 90 minutes.RESULTS:Natriuresis appeared to be the key factor promoting hypovolemic hypotension 15–20 minutes after fluid administration ended. Excessive sodium excretion, due to osmotic diuresis caused by the irrigant solutes, was associated with high estimates of the elimination rate constant (k10) and low or negative estimates of the rate constant describing re-distribution of fluid to the plasma after translocation to the interstitium (k21). These characteristics indicated a high urinary flow rate and the development of peripheral edema at the expense of plasma volume and were correlated with reductions in cardiac output. The same general effects of natriuresis were observed for both irrigating solutions, although the volume of infused 1.5% glycine had a higher tendency to enter the intracellular fluid space.CONCLUSION:Comparisons between hemodynamics and fluid turnover showed a likely sequence of events that led to hypovolemia despite intravenous administration of large amounts of fluid.

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Transurethral resection of prostate syndrome: report of a case

Cited by 10 publications

References 14 publications

Consequences of Abdominal Adiposity within the Metabolic Syndrome Paradigm in Black People of African Ancestry

Consequences of Abdominal Adiposity within the Metabolic Syndrome Paradigm in Black People of African Ancestry

Nursing assessment of TURP syndrome: a pilot study

Fluid volume kinetics of dilutional hyponatremia; a shock syndrome revisited

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