Abstract
We report a case of transurethral resection of prostate (TURP) syndrome. A 78-year-old man with prostatic hypertrophy was scheduled for transurethral resection of the prostate under spinal anesthesia. 30 minutes after the end of the surgery, the patient presented signs of TURP syndrome with bradycardia, arterial hypotension, cyanosis, hypoxemia and coma. The electrolytes analysis revealed an acute hyponatremia (sodium concentration 125 mmol/L). Medical treatment consisted of hypertonic saline solution 3%, volume expansion, intubation and ventilation. The presented case describes a typical TURP syndrome, which was diagnosed and treated early. The patient was discharged from hospital without any complications.
Highlights
Transurethral resection of prostate (TURP) syndrome is a systemic complication of transurethral resection of the prostate or bladder tumours, caused by excessive absorption of electrolyte-free irrigation fluids [1]
Glycine solution is almost universally used as an irrigation solution in traditional therapeutic endoscopic urologic procedures [4]
We report the case of a 78-year-old male patient, who presented a severe TURP syndrome 30 minutes after surgery with moderate hyponatremia
Summary
Transurethral resection of prostate (TURP) syndrome is a systemic complication of transurethral resection of the prostate or bladder tumours, caused by excessive absorption of electrolyte-free irrigation fluids [1]. The heart rate at the start of the operation was 85 bpm, blood pressure 140/80 mmHg, electrocardiogram normal and spo was 98%. The TURP syndrome was subsequently confirmed by an immediately electrolyte analysis revealed a decrease in serum sodium concentration from 145 mmHg to 125 mmHg. Hypertonic saline solution 3% at a rate of 50 ml/h was started. The concentration sodium level stabilized at 135 mmol/L, potassium 3.5 mmol/L and Troponin 0.15 ng/ml He was returned to the urologic clinic six days later and he was discharged from the hospital 10 days later in good condition
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