Open AccessProstatic surgery associated acute kidney injury
Author(s) -
Elerson Carlos Costalonga,
Verônica Torres Costa e Silva,
Renato Antunes Caires,
James Hung,
Luís Yu,
Emmanuel A. Burdmann
Publication year - 2014
Publication title -
world journal of nephrology
Language(s) - Uncategorized
Resource type - Journals
ISSN - 2220-6124
DOI - 10.5527/wjn.v3.i4.198
Subject(s) - medicine , obstructive uropathy , acute kidney injury , prostatectomy , incidence (geometry) , kidney disease , transurethral resection of the prostate , urology , prostate , hyperplasia , epidemiology , prostate cancer , rhabdomyolysis , surgery , cancer , urinary system , physics , optics
Acute kidney injury (AKI) is associated with extended hospital stays, high risks of in-hospital and long-term mortality, and increased risk of incident and progressive chronic kidney disease. Patients with urological diseases are a high-risk group for AKI owing to the coexistence of obstructive uropathy, older age, and preexistent chronic kidney disease. Nonetheless, precise data on the incidence and outcomes of postoperative AKI in urological procedures are lacking. Benign prostatic hyperplasia and prostate cancer are common diagnoses in older men and are frequently treated with surgical procedures. Whereas severe AKI after prostate surgery in general appears to be unusual, AKI associated with transurethral resection of the prostate (TURP) syndrome and with rhabdomyolysis (RM) after radical prostatectomy have been frequently described. The purpose of this review is to discuss the current knowledge regarding the epidemiology, risk factors, outcomes, prevention, and treatment of AKI associated with prostatic surgery. The mechanisms of TURP syndrome and RM following prostatic surgeries will be emphasized.