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COMPARISON OF THE EFFECT OF TWO HEIGHTS OF GLYCINE IRRIGATION SOLUTION ON SERUM SODIUM AND OSMOLALITY DURING TRANSURETHRAL RESECTION OF THE PROSTATE
Author(s) -
Renen Robert G. van,
Reymann Ulla
Publication year - 1997
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.1445-2197.1997.tb07617.x
Subject(s) - medicine , glycine , sodium , transurethral resection of the prostate , urology , resection , therapeutic irrigation , prostate , irrigation , surgery , biochemistry , amino acid , agronomy , cancer , chemistry , organic chemistry , biology
Background: The absorption of sodium‐deficient, hypotonic irrigation solution is believed to contribute, in certain cases, to hyponatraemia and hypo‐osmolality and, in severe cases, to the so‐called transurethral resection of the prostate (TURP) syndrome. Methods : The effect of the height of 1.5% glycine irrigation solution during intermittent‐flow TURP on serum sodium and osmolality was studied pen‐operatively in 40 patients. The height of the glycine was set at 70 ( n = 20) or 150 ( n = 20) cm above the operating table. Results: We found no statistically significant difference in the measured serum sodium ( P = 0.929) and osmolality ( P = 0.260) values between the two groups during the 24 hr study period. Conclusions: The height of the irrigation solution is not important in the development of hyponatraemia and hypo‐osmolality, and other factors are probably more important.