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Symptomatology, Pathophysiology and Treatment of the Transurethral Resection of the Prostate Syndrome
Author(s) -
NORRIS H. THOMAS,
AASHEIM GEORDIS M.,
SHERRARD DONALD J.,
TREMANN JAMES A.
Publication year - 1973
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1973.tb12182.x
Subject(s) - medicine , transurethral resection of the prostate , prostate , saline , anesthesia , resection , surgery , foley catheter , tonicity , hypertonic saline , serum chloride , pathophysiology , catheter , urology , sodium , chemistry , organic chemistry , cancer
Summary Five patients who developed the TURP syndrome during transurethral resection of the prostate absorbed an average of 4.3 litres of urologic irrigating fluid (Cytal). The serum sodium and chloride decreased an average of 36 and 21 mEq/l respectively. The serum Cytal increased an average of 892 mg/100 ml. In comparison minimal changes occurred in the serum values of 8 control patients under‐going TURP. Pain in the previously anaesthetised area, seizures, cardiac arrhythmias or heavy prostatic venous bleeding occurred just before the onset of the reaction. Successful treatment included the immediate termination of the resection, control of haemorrhage with Foley catheter and traction, and cessation of all intravenous therapy. The administration of hypertonic saline is contraindicated. Using this method of treatment the serum Cytal levels returned to preoperative values in 5 hours; serum sodium and chloride returned to preoperative levels 24 hours after the resection.