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Acid Phosphatase Levels in Serum during Transurethral Prostatectomy
Author(s) -
HAHN R.G.
Publication year - 1989
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.1989.tb05286.x
Subject(s) - serum electrolytes , prostatectomy , prostatic acid phosphatase , medicine , urology , blood loss , blood volume , anesthesia , prostate , surgery , cancer
Summary— Serum prostatic acid phosphatase (S‐PAP), serum electrolytes, blood loss and volume of irrigating fluid absorbed were measured during 10‐min periods in the course of 35 transurethral prostatic resections. Elevation of the S‐PAP concentration occurred in association with a large blood loss, with absorption of irrigant followed immediately by hyponatraemia, and with a sudden drop in systolic blood pressure. The volume of blood lost during irrigant absorption was the most important index of the S‐PAP level. A model for the transfer of PAP to the circulation during TURP is presented.