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Fluid Absorption During Transurethral Prostatectomy
Author(s) -
LOGIE J. R. C.,
KEENAN R. A.,
WHITING P. H.
Publication year - 1980
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.1980.tb03106.x
Subject(s) - mannitol , medicine , urology , bradycardia , prostatectomy , transurethral resection of the prostate , hyperplasia , prostate , anesthesia , chemistry , blood pressure , heart rate , organic chemistry , cancer
Summary— A study of 39 patients having a transurethral resection (TUR) of prostate for benign prostatic hyperplasia was carried out. Large quantities of mannitol, which was used as the irrigating fluid during the procedure, were found to enter the circulation. A corresponding fall in the serum sodium levels was noted. Those patients with serum mannitol levels greater than 4000 mg/l were noted to be hypotensive and have a bradycardia. These patients were nearly all hypovolaemic and the bradycardia was felt to be inappropriate. The possibility of this being due to a combination of factors including intravascular mannitol is considered.