Abstract
We believe that hemolysis during a transurethral resection of the prostate is one of the factors involved in the production of a lower nephron nephrosis Dostoperatively. The other factors are hemorrhage, shock and previously diseased kidneys. These latter three factors may be mmimized by obvious means and the factor of intravascular hemolysis diminished by the use of an isotonic irrigating fluid, or if water is being used, by the early recognition and treatment of hemolysis. It is true that isotonic solutions, by virtue of their non-hemolyzing properties, do interfere somewhat with vision within the bladder, but it requires very little change in surgical technique to overcome tins obstacle.
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