AI Article Synopsis

  • The text discusses the complications of transurethral resection of the prostate (TURP), highlighting acute renal failure as a less-explored but serious issue.
  • The case reported involves a patient who experienced oliguric acute renal failure post-TURP, with potential causes including hemolysis and hemodynamic changes.
  • The authors advocate for thorough evaluations before and after TURP procedures to lower the risk of such complications.

Article Abstract

Objective: Complications of transurethral resection of the prostate (TURP) related to hypotonicity and hypervolemia were well described in the literature. However acute renal failure, known to be a clinical presentation of some TURP syndromes was less discussed.

Methods: We report a case of oliguric acute renal failure as a major complication after TURP, with a discussion of a possible mechanism for the disorder.

Results: The mechanism by which renal failure developed in our patient is not entirely clear, but most likely is due to hemolysis. Other factors such as hemodynamic alterations, hypotension and rabdomyolisis are also suspected based on analysed data.

Conclusion: We believe that a detailed evaluation before and after TURP will allow to reduce the incidence of this abnormality and to prevent its occurrence.

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Source
http://dx.doi.org/10.4321/s0004-06142007000100017DOI Listing

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