Association of Irrigation Fluid Used and Serum Electrolyte Changes in Trans Ureteral Resection of Prostate (Turp) at Dr. Hedgewar Rugnalaya, Aurangabad

Abstract

Introduction: Trans Urethral Resection of the Prostate as a gold standard treatment for benign prostatic hyperplasia is performed with fluid irrigation that may cause electrolyte disturbance due to excessive fluid absorption; and may lead to electrolyte imbalance crises. It can cause hemolysis and changes in hematocrit value. Here in this study we primarily focused on electrolytic disturbances only. Different types of irrigation fluid are used for Trans-Urethral Resection of Prostate (TURP) procedure worldwide. In our institute we used sterile water as an irrigation fluid. The advantage of using sterile water are-Easily available, cheap, electrically inert, nontoxic, transparent, and easy to sterile and disadvantage is it is hypotonic. Ideal irrigation fluid should be isotonic, nonhemolytic, electrically inert, nontoxic, transparent and easy to sterile and should be inexpensive. Objective: This study is to determine the incidence of changes in electrolyte level in TURP procedure. Materials and methods: A descriptive retrospective study was conducted at Dr. Hedgewar Hospital, Aurangabad between January to December 2017. The subjects were BPH patients who underwent TURP surgery at Dr. Hegdewar Rugnalaya. Data were retrieved from medical records. We used sterile water as an irrigation fluid in TURP procedures. We had performed pre and post-operative electrolyte level, weight of prostate, amount of irrigation fluid used. Results: 76 subjects, the mean age was 70.77 years and the mean weight of the prostate was 47.56 grams. No significant change in levels of Sodium, Potassium and chloride noted post operatively (mean changes in electrolytes are Na+-0.51, K+-0.05, CL--1.03 respectively). Conclusion: Serum electrolyte levels were not significantly changes after surgery.