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RENAL FAILURE AFTER PROSTATECTOMY DUE TO INTRAVASCULAR HAEMOLYSIS
Author(s) -
Marshall Ver
Publication year - 1962
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1962.tb03015.x
Subject(s) - haemolysis , medicine , distilled water , urology , hemolysis , prostatectomy , surgery , fluid intake , prostate , chemistry , chromatography , cancer , immunology
S ummary Two cases of renal failure developing after prostatectomy have been described. Renal failure was believed to have been precipitated by intravascular haemolysis following the use of distilled water as a perfusing fluid. In one patient, haemolysis occurred during transurethral resection and in the other, haemolysis occurred on the third post‐operative day immediately after a bladder wash‐out. Haemolysis due to this cause is preventable by the substitution of a non‐electrolytic, isos‐motic perfusing fluid for distilled water and some points relating to the use of these solutions during the operation of transurethral resection are discussed. Intravascular haemolysis is considered to be one of several factors which will contribute to the development of post‐operative renal failure. If bladder wash‐outs are considered necessary in the post‐operative period, the substitution of 5 per cent, glucose for distilled water as an irrigating fluid is strongly urged as a preventive measure against post‐operative haemolysis.