[Extremely rapid development of transurethral resection of the prostate syndrome].

Vojnosanit Pregl

Klinicki centar Srbije, Institut za anesteziju i reanimaciju, Beograd, Srbija.

Published: July 2008

AI Article Synopsis

  • TURP syndrome can occur rapidly during or after ureteroscopic procedures, affecting various bodily systems.
  • A 72-year-old patient developed severe symptoms like bradycardia and disorientation only 15 minutes into his TURP surgery, leading to a diagnosis confirmed by blood tests showing metabolic acidosis and low sodium levels.
  • Immediate treatment with diuretics and bicarbonates was critical in alleviating symptoms and preventing serious complications.

Article Abstract

Background: The transurethral resection of the prostate (TURP) syndrome is reported after ureteroscopic procedures with irrigating solutions. TURP syndrome may occur quickly or up to 24 hours postoperatively. TURP syndrome affects many systems and manifests itself mainly through acute changes in intravascular volume and plasma solute concentrations.

Case Report: We reported a 72-year-old patient with benign prostatic hyperplasia, diabetes mellitus and angina pectoris who underwent TURP under spinal anesthesia. Unusual marked somnolence, bradycardia (38 beats/min), disorientation and face edema indicated a diagnosis of TURP syndrome only 15 minutes after the operation had started. The diagnosis confirmed by arterial gas analyses (metabolic acidosis, pH was 7.29) and hyponatremia (96 mmol/l). Agressive and adequate therapy with diuretic and bicarbonates decreased symptoms and saved patient's life.

Conclusion: Very fast development of TURP syndrome is possible. Continuous patient monitoring is necessary to provide fast recognition of TURP syndrome. Adequate therapy can prevent considerable complications.

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Source
http://dx.doi.org/10.2298/vsp0807569lDOI Listing

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