Turp syndrome. This operation remains associated .

• Turp syndrome. Hypotonic solutions (1. Irrigation fluid type, duration of operation, and weight of resected mass have been evaluated as risk factors for TUR syndrome. Transurethral resection (TUR) syndrome, one compli Sep 1, 2018 · Le syndrome de résection transurétrale de la prostate (RTUP ou TURP, Transurethral resection of the prostate) est une complication rare, mais grave, de cette intervention chirurgicale [1]. 8 may be side-effects of hyponatraemia ormay result from The reports range from "dimming of vision", "light elevated Aug 16, 2021 · Prostate surgery: transurethral resection of the prostate (TURP) This information tells you about an operation on the prostate called a transurethral resection of the prostate (TURP). Learn about the risk factors, pathophysiology, prevention, diagnosis and treatment of TURP syndrome in this comprehensive article. Perioperative morbidity from this procedure ranges between 18% and 26% and the mortality rate may be as high as C. 78% to 1. Hahn CASE SUMMARY A 73-year-old man with symptomatic benign prostatic hypertrophy is scheduled for transurethral resection of the prostate (TURP). TURP syndrome is a type of severe iatrogenic hyponatremia (serum sodium <120 mmol/L) that can occur during endoscopic urologic or gynecologic procedures requiring continuous irrigation. Only 10% of total body sodium is intracellular, and the concentration gradient between the intracellular and extracellular components is maintained by the Na-K- ATPase pump. Although mostly associated with TURP Objective. Ce patient a présenté, 90 minutes après le We report a case of transurethral resection of prostate (TURP) syndrome. The field continues to evolve with the introduction of new energy and laser technologies, increasing adoption of enucleation techniques, in addition to the advent of minimally Introduction La chirurgie endoscopique prostatique, vésicale nécessite l’utilisation d’un soluté d’irri-gation à base de glycocolle qui permet une bonne vision chirurgicale et un arc électri-que. A 78-year-old man with prostatic hypertrophy was scheduled for transurethral resection of the prostate under spinal anesthesia. Some key points: - TURP syndrome is caused by absorption of large volumes of irrigating fluids during TURP surgery, leading to hyponatremia, hypervolemia, and hypo-osmolarity. Learn more about the TURP procedure. TURP is still the standard surgical procedure for treatment of benign prostate hyperplasia. TURP syndrome can begin as early as 15 minutes after resection begins and can last up to 24 hours after surgery. 4%. A 80-year-old man with grade III Prostatomegaly was scheduled for transurethral resection of the prostate under spinal anesthesia. Bipolar and monopolar transurethral resection of prostate (TURP) are both widely used for surgical treatment of benign prostatic hyperplasia. Hemolysis does happen during TURP. The syndrome appears to be related to the amount of fluid that enters the circulation via the blood vessels in the resection area. The syndrome has also Sodium is the most abundant cation in extracellular fluid (ECF), accounting for 86% of plasma osmolality, and is therefore of major importance when considering the physiological effects of hyponatraemia. Saddle block paralyzed pelvic muscles and sacral nerve roots and hemodynamic derangement TURP video transcription A transurethral resection of the prostate (TURP) is a minimally-invasive or endoscopic surgical procedure that involves cutting away a section of the prostate. It describes TURP syndrome, which involves excessive absorption of irrigating fluid during the procedure leading to dilutional hyponatremia and related neurological and cardiovascular issues. It carries risks due to the elderly patient population and long duration. He uses resectoscope, a 12-inch long instrument that reaches Acute kidney injury (AKI) is associated with extended hospital stays, high risks of in-hospital and long-term mortality, and increased risk of incident and progressive chronic kidney disease. Methods After obtaining Transurethral resection of the prostate (TURP) syndrome: a review of the pathophysiology and management To investigate what clinical features typically present in transurethral resection (TUR) syndrome and to see which classically present first. Its defined as the combination of clinical cardiovascular and/or neurological manifestations, along with hyponatremia. Transurethral plasmakinetic resection of TRANSURETHRAL RESECTION OF THE PROSTATE Preoperative Considerations Benign prostatic hyperplasia (BPH) frequently leads to bladder outlet obstruction in men older than 60 years. Many reviews of TURP syndrome have … The transurethral resection syndrome ("TUR syndrome") is caused by absorption of electrolyte-free irrigating fluid, and consists of symptoms from the circulatory and nervous systems. The found heterogeneity may indicate a lack of standardization in TURP procedures. All patients undergoing TURP from June 2012 to April 2013 were included. He was a known case of severe mitral regurgitation, severe aortic stenosis, and severe tricuspid regurgitation for which he underwent aortic and mitral valve replacement with tricuspid annuloplasty one month Dec 19, 2016 · What is transurethral resection of the prostate (TURP)? If your prostate becomes too large, your doctor may recommend a surgical procedure known as transurethral resection of the prostate (TURP Absorption of large volumes of irrigation fluid during transurethral resection of the prostate (TURP) can produce hyponatremia, coma, blindness, and cardiorespiratory depression. The pathophysiology and management of this syndrome are controversial. The Figure showsthe complex interactions that need to be considered Feb 15, 2022 · Background: There are many options for managing benign prostatic hyperplasia (BPH). Whether hemolysis itself leads to acute renal failure merits discussion. Treatement with CPAP-PSV Pro was successful. Le TURP Jan 1, 2002 · Transurethral resection of the prostate (TURP) has been the standard treatment for moderate to severe benign prostatic hypertrophy since the 1930s. TURP syndrome is a rare but serious complication of transurethral resection of the prostate (TURP) surgery, caused by fluid overload and hyponatraemia from irrigation fluid absorption. He was catheterised for acute urinary retention three months back. Nov 21, 2024 · The authors report a case of delayed transurethral resection of prostate (TURP) syndrome. Spinal anaesthesia is considered to be the technique of choice for TURP. This syndrome may potentially cause neurologic disturbance, pulmonary edema, cardiovascular compromise, and death. Less commonly, this complication caused Jul 1, 2019 · PDF | We report a case of transurethral resection of prostate (TURP) syndrome. 90 minutes after the beginning of the procedure, the patient had nausea, vomiting, visual fog and bradyca … Introduction and Background Transurethral resection of the prostate (TURP) syndrome is a rare but potentially dangerous complication most frequently associated with TURP. Hyponatraemia usually reflects an Jan 4, 2018 · How can the signs and symptoms of transurethral resection prostate (TURP) syndrome be identified by nurses? This study aimed to develop a nursing instrument to assess TURP syndrome. The clinical picture is inconsistent and the syndrome is easily confused with other acute disorders. An instrument called a resectoscope is placed through the tip of the penis. This operation remains associated In this article, the authors analyze a syndrome first described by Creevy in the 1940s, which may occur during a transurethral resection of the prostate (TURP). Understanding these outcomes is important for preparation and recovery. Although monopolar TURP is considered a safe and effective option for surgical management of BPO, there are some Jan 1, 2001 · Trans Urethral Resection of Prostate (TURP) syndrome is one of the commonest and dreaded complications of urological endoscopic surgery. The prostate is a small gland in the pelvis only found in men. Preoperative electrolytes were performed within a week of Hyponatremia following transurethral resection or other procedures involving electrolyte-free irrigation: causes, clinical manifestations, diagnosis, and management. Rapid correction of sodium with hypertonic saline. The prevalence of this case in the fi rst PKU Muhammadiyah Hospital of Yogyakarta mortality rate was 4. At 120 min of surgery, the patient Transurethral resection of the prostate (commonly known as a TURP, plural TURPs, and rarely as a transurethral prostatic resection, TUPR) is a urological operation. Ritu Gupta Hillingdon Hospital, Uxbridge, UK Correspondence to ritugupta@doctors. We report two cases of sudden occurence of hypotension and bradycardia during Benign prostatic hyperplasia (BPH) is highly prevalent among older men, impacting on their quality of life, sexual function, and genitourinary health, and has become an important global burden of disease. METHODS: Patients with symptomatic benign Dec 3, 2009 · Abstract Transurethral resection of the prostate (TURP) syndrome is a rare but potentially fatal syndrome with multifactorial pathophysiology that is now better understood. Non-surgical post-TURP bleeding may be due … Background: Transurethral resection of the prostate (TURP) syndrome is a rare, but extremely dangerous complication. May 7, 2024 · Transurethral resection of the prostate (TURP) syndrome is a systemic complication caused by excessive absorption of electrolyte-free irrigation fluids during transurethral resection of prostate Oct 12, 2009 · Anaesthesia For Transurethral Resection Of The Prostate (TURP) Dr. Methods. The purpose of the study was to establish whether or not a particular method of anesthesia is preferred in TURP is a procedure to relieve urinary symptoms from an enlarged prostate. However, in rare cases, they can be rapidly absorbed through Jan 1, 2023 · Transurethral resection of the prostate (TURP) syndrome is a common systemic complication of TURP with various symptoms including asymptomatic hyponatremia, headache, anxiety, seizure or coma, and fatal hemodynamic collapse. It is used to treat benign prostatic hyperplasia (BPH). TURP syndrome is a rare but serious complication of transurethral resection of the prostate (TURP) procedure. A systematic review and This article discusses the presentation, aetiology, treatment and prevention of central nervous system disturbances after transurethral resection of the prostate. A case of severe post-TURP syndrome due to the absorption of hypotonic glycine irrigant is Background Complication seen after transurethral resection of prostate when large volumes of glycine-based irrigation fluids absorbed through venous sinuses, causing volume overload and hyponatremia, as well as CNS effects due to glycine Glycine inhibits GABA receptors and potentiates NMDA receptors More rare currently due to changes in irrigation fluid composition Can also be seen after other Clinical benign prostatic hyperplasia (BPH) is one of the most common cause of lower urinary tract symptoms and transurethral resection of prostate (TURP) has been the gold standard technique for surgical treatment of benign prostate obstruction Nov 15, 2024 · Benign prostatic hyperplasia (BPH) is a leading cause of bladder outlet obstruction (BOO) in men, with transurethral resection of the prostate (TURP) historically regarded as the gold standard for surgical management [1]. A 73-year-old man with benign prostatic hyperplasia underwent monopolar TURP. It's located between the penis and bladder, and surrounds the urethra (the tube Jun 1, 2018 · Transurethral Resection of the prostate urologist in particular performs the surgery. TURP Syndrome occurs when irrigation fluid used during TURP surgery enters the bloodstream. A 80-year-old man with grade III Prostatomegaly was scheduled for | Find, read and cite all the research you need This review article summarizes the pathophysiology and management of Transurethral Resection of the Prostate (TURP) Syndrome. To determine the electrolyte derangement following transurethral resection of prostate (TURP). The syndrome is characterized by cardiocirculatory and neurological problems due to rapid changes in intravascular volume and plasma solute … Jul 15, 2016 · Turp Syndrome Dietrich Gravenstein Robert G. It occurs when irrigating fluids are absorbed into the bloodstream and cause fluid overload, hyponatremia, hyperammonaemia and hypothermia. 1 Normal body osmolality ranges TURP syndrome is an iatrogenic complication of urological surgery due to absorbance of the fluid used to distend and irrigate the bladder It has an incidence of 1-8%, and has also been reported after endometrial ablation or ureteroscopic procedure Can occur within 15mins of start of surgery or up to 24hrs post-operatively It arises due to changes in: Intravascular volume Plasma sodium We report a case of transurethral resection of prostate (TURP) syndrome. A thorough pre-op assessment helps determine anesthesia technique, with subarachnoid block preferred. Methods A comprehensive literature search was performed across PubMed, MEDLINE, Scopus, Web of Science, and Google Scholar to identify studies published before August 2024. Jun 19, 2016 · Transurethral Resection Syndrome Absorption of large volumes of irrigating solution leads to respiratory distress secondary to intravascular volume overload, hyponatremia, and hypo-osmolality (1). Jul 12, 2024 · Patients undergoing transurethral resection of the prostate (TURP) surgery can develop TURP syndrome and post-TURP bleeding. Unfortunately, despite this Sep 1, 2019 · 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. The chapter is divided into preoperative, intraoperative, and postoperative sections with important A transurethral resection of the prostate (TURP) is a surgical procedure that involves cutting away a section of the prostate. 2024; 16 (2): 123-127 | DOI: 10. Objective: Develop a tool to detect the TURP syndrome. Jan 1, 2021 · Transurethral resection (TUR) syndrome is a rare and serious complication of bladder perforation during transurethral resection of bladder tumor (TURBT), secondary to the excessive absorption of electrolytes-free irrigating fluid by extravascular route. Urologists should suspect this complication in prolonged TURP surgery. Between 1% and 8% of TURP procedures are complicated by TURP syndrome [1]. The document provides an overview of transurethral resection of the prostate syndrome (TURP syndrome). " The pathophysiology and management of this syndrome are controversial. A 57-year-old man was scheduled to undergo Transurethral resection of prostate (TURP) for benign prostatic hypertrophy. Strict criteria provide the basis for determining if the Jul 26, 2019 · We report a case of transurethral resection of prostate (TURP) syndrome. Le grand syndrome complet associant dyspnée, nausées, hypertension artérielle . The syndrome has also This article discusses the presentation, aetiology, treatment and prevention of central nervous system disturbances after transurethral resection of the prostate. Six days post-discharge, the patient presented at the emergency department with signs of clot retention and Greenlight laser transurethral resection of prostate (TURP) is a standard surgical method used to treat patients with prostate gland enlargement, it is safe and effective. It is then passed through the tube that carries urine from your bladder Sep 6, 2022 · Prostate surgery, or prostatectomy, refers to procedures done to remove the prostate, or parts of it. This operation Transurethral resection of the prostate (TURP) syndrome is a rare but potentially fatal syndrome with multifactorial pathophysiology that is now better understood. The urethra (water pipe) leaves the bladder, passes through the prostate to the tip of the penis. AI generated definition based on: Complications in Anesthesia (Second Edition), 2007 Mar 21, 2024 · Transurethral resection of the prostate (TURP) is a common surgery that's used to treat urinary problems that are caused by an enlarged prostate. TURP remains the surgical gold standard for the trea TURP syndrome is a type of severe iatrogenic hyponatremia (serum sodium <120 mmol/L) that can occur during endoscopic urologic or gyneco-logic procedures requiring continuous irrigation. The document outlines other potential complications like perforation of the bladder, urinary May 26, 2023 · Transurethral resection of the prostate (TURP) syndrome is a rare but potentially fatal syndrome with multifactorial pathophysiology that is now better understood. TURP syndrome is a term applied to a constellation of clinical features caused mainly by excessive absorption of the electrolyte-free irrigation fluids used during endoscopic procedures. L’utilisation de ce soluté expose le patient à des complications graves mettant en jeu le pronostic vital, lorsque ce soluté d’irrigation passe dans le compartiment san-guin. 1 TURP syndrome is caused by excessive absorption of hypotonic electrolyte-free irrigating fluid into the circulation. Patients with urological diseases are a high-risk group Sep 17, 2019 · INTRODUCTION With the ever-increasing prevalence of minimally invasive surgical techniques come heightened risks specific to these approaches. While some laparoscopic surgeries use humidified carbon dioxide for insuflation, other procedures such as transurethral resection of the prostate (TURP), transurethral resection of bladder tumour, transcervical resection of endometrium, endometrial INTRODUCTION: The objective of this prospective randomized controlled study was to compare transurethral resection of the prostate in saline (TURPis) using the TURis system with the standard monopolar TURP, to determine evidence of safety and efficacy. Two different and commonly used irrigating Spinal anesthesia is the technique of choice in transurethral resection of prostate (TURP). Even in the best of hands, the incidence of TURP syndrome TURP syndrome is considered a serious complication in urology surgery. The purpose of the present study was to identify risk factors related to TUR syndrome in the elderly. The most common indication for TURP is moderate to severe symptoms of BPH, which are TURP Syndrome is a rare surgical complication involving fluid absorption during prostate surgery. Monopolar resection is the most available method of endoscopic This study aimed at investigating the usage and effects of prophylactic hypertonic saline (HS) to prevent the occurrence of transurethral resection of the prostate (TURP) syndrome. The first step in the course of action The prostate gland sits below the bladder which lies behind the pubic bone – see diagram below. the perivesicular and retroperitoneal spaces (26). This improves the flow of urine from the bladder to the outside. It can lead to hypertension, hypotension, hyponatremia, pulmonary edema, and death. Many reviews of TURP syndrome have been presented from an anesthetic perspective; this review reflects more the urologic Nov 1, 2017 · Transurethral resection of the prostrate (TURP) is the most common and preferred treatment for the patient with benign prostatic hyperplasia (BPH) when surgery is indicated (Ketabchi, Ketabchi, & Barkam, 2013; Watson, 2017). 85570 Transurethral Resection of the Prostate (TURP) Syndrome: A Review of Perioperative Management Kadir Arslan, Ayça Sultan Şahin Department of Anesthesiology and Reanimation, University of Health Sciences, Kanuni Sultan Süleyman Training and Research Hospital, İstanbul, Türkiye Transurethral resection of the prostate (TURP) syndrome is a The variety of mechanisms and pathways that lead to transurethral resection of the prostate (TURP) syndrome. The main symptoms are connected with cardiovascular disorders (hypo-and hyperkinetics) as Sep 4, 2023 · Transurethral resection of the prostate or TURP is a procedure where the prostate is resected from an endoscopic approach. TURP syndrome comprises the effects produced by rapid changes in osmolality and circulating volume, together with the effects of glycine, caused by the absorption of glycine 1. Systemic absorption of irrigation fluids during TURP operations leads to variations in blood chemistry. Nous rapportons le cas d'un patient de 78 ans, sans antécédents pathologiques notables, qui a bénéficié d'une résection transuréterale d'une hypertrophie bénigne de prostate de 50g sous rachianesthésie. 1%, based on a Nov 15, 2024 · In the last 20 years there has not been a clear trend in the results of TURP. The mortality rate associated For over 8 decades, transurethral resection of the prostate (TURP) has been considered the cornerstone of surgical management for benign prostatic obstruction (BPO), due to the procedure’s outstanding, well-documented, long-term treatment efficacy. Specifically, the role of general versus regional anesthesia, the treatment of hyponatremia, and ways to prevent the development of TURP syndrome are reviewed. Post-TURP bleeding can be surgical, from arteries or venous sinuses, or non-surgical, due to coagulopathy preventing clot Transurethral resection of prostate (TURP) syndrome is a complication characterised by symptoms changing from an asymptomatic hyponatremic state to convulsions, coma and death due to absorption of irrigation fluid during TURP. Jul 12, 2001 · Transurethral resection of the prostate (TURP) for the treatment of benign prostatic hyperplasia may lead to TURP syndrome, and in some cases, acute renal failure can develop. Problems may be fore- stalled by using loop and other salt Oct 27, 2019 · What we did and why C. Transurethral resection of the prostate (TURP) is the gold standard for treating patients with BPH. Two episodes of hypotension occurred • Absorption of large volumes of irrigation fluid during transurethral resection of the prostate (TURP) can produce hyponatremia, coma, blindness, and cardiorespiratory depression. However due to the significant complication associated Indications for transurethral resection of the prostate (TURP) Surgical treatment of benign prostatic hyperplasia is necessary in cases of recurrent urinary retention, recurrent urinary tract infections, recurrent hematuria, bladder stones, postrenal acute kidney injury, and large bladder diverticula. 7% of the 168 action TURP. Nausea and vomiting irrigating fluid a dwhen hyponatraemia has occurred. It was the first major, minimally invasive surgery of the modern era. com TURP & TURP Syndrome Considerations Coexisting disease common in this population Coronary disease, acute kidney injury, elderly Considerations of intraoperative complications: TURP syndrome ~2% Fluid overload/pulmonary edema; electrolyte abnormalities; dysrhythmias hyperglycinemia (blindness), hyperammonemia (encephalopathy), hypothermia Concealed hemorrhage Bladder perforation ~ 1% Septicemia TURP syndrome is a complication of transurethral resection of the prostate (TURP) caused by irrigation fluid entering the intravascular space. A 60-year-old man was diagnosed with obstructive prostatic enlargement where conservative medical treatment failed, and therefore he was scheduled for standard TURP under spinal anaesthesia. Just after the end of the surgery, the patient presented signs of TURP syndrome with bradycardia … TURP Syndrome หรือ TUR syndrome เป็นภาวะแทรกซ้อนที่ผิดปกติ แต่ร้ายแรงในการ ผ่าตัดต่อมลูกหมาก โดยเฉพาะ มีหลายประเภทของการผ่าตัดต่อมลูกหมาก แต่ TURP เป็นหนึ่งใน Sep 1, 2020 · Operative hysteroscopy intravascular absorption (OHIA) syndrome refers to fluid overload complications from operative hysteroscopies. The underlying cause of its occurrence is unpredictable absorption into the bloodstream of the patient irrigating liquid, which is used to ensure good visibility of the operating ¿ eld. This case requires preventive action by composing one tool for early detection of TURP syndrome. It is a less invasive approach than traditional suprapubic or retropubic open prostatectomy. We report a patient with chronic renal insufficiency who developed oliguric acute renal failure immediately as a Jul 27, 2025 · Transurethral Resection of the Prostate (TURP) is a common surgical procedure for benign prostatic hyperplasia (BPH), a condition where the prostate gland enlarges and can obstruct urine flow. Hypotonicity after absorption of the irrigating fluid causes cerebral INTRODUCTION With the ever-increasing prevalence of minimally invasive surgical techniques come heightened risks specific to these approaches. A 58-year-old male patient with grade III benign hypertrophic hyperplasia was scheduled for TURP under spinal anesthesia. Sixty American Society of Anesthesiologists physical status classes Feb 1, 2011 · 2. Strict criteria provide the basis for determining if the To update the complications of transurethral resection of the prostate (TURP), including management and prevention based on technological evolution. Learn about the risk factors, signs, and interventions for TURP syndrome. It explains how the operation is done, how it can help, what the risks are, and what to expect afterwards. Although minimally invasive surgical therapies (MIST) have emerged, offering fewer complications, and enucleation procedures have advanced, demonstrating lower reoperation This document discusses complications that can occur with transurethral resection of the prostate (TURP). Recently, normal saline has been used as an irrigation fluid in a new Oct 1, 2018 · Abstract In this chapter the essential aspects of anesthesia for transurethral resection of the prostate (TURP) syndrome are discussed. Nausea and vomiting, visual symptoms, and altered slates of consciousness have been reported as complications due to intravascular absorption of irrigating fluid. The safest treatment of hyponatremia and hypoosmolality may zures, and hemiplegia (14,54). uk Transurethral resection of the prostate (TURP) syndrome is a complication of transurethral resection of the prostate procedure. 1 Normal saline cannot be used as irrigation solution with Jul 12, 2024 · Patients undergoing transurethral resection of the prostate (TURP) surgery can develop TURP syndrome and post-TURP bleeding. TURP syndrome is a rare but serious complication of transurethral resection of prostate (TURP) surgery, caused by fluid absorption and electrolyte imbalance. Nausea and vomiting, visual symptoms, and altered states of consciousness have been reported as complications due to intravascular absorp … What are the benefits of having this operation? The aim of this operation is to improve urinary symptoms, relieving any urinary obstruction and the improvement of urinary flow. BPH affects 50% of males at 60 years and 90% of 85-year-olds and so TURP is most commonly performed on elderly patients, a population group with a high incidence of cardiac, respiratory and renal disease. The triggering event is the entry of irrigation solution into the intravascular compartment (A), which increases intravascular volume (B) with its sequelae and decreases (C) and/or increases (D) solute concentration. This is necessary either because urinary symptoms have deteriorated despite the use of drugs to improve symptoms, or because a complication of an enlarged prostate has developed (such as inability to pass urine (or Mar 19, 2023 · 在攝護腺刮除手術中，讓醫師及病患都聞之色變的 經尿路切除症候群 （TUR syndrome, TURP syndrome ）又名 水中毒，據文獻資料發生率低（小於1-2%），但嚴重時可能會因此需要插管進加護病房治療。 Jul 1, 2017 · Clinical benign prostatic hyperplasia (BPH) is one of the most common cause of lower urinary tract symptoms and transurethral resection of prostate (TURP) has been the gold standard technique for surgical treatment of benign prostate obstruction (BPO) over the last 2 decades. While some laparoscopic surgeries use humidified carbon dioxide for insufflation, other procedures such as transurethral resection of the prostate (TURP), transurethral resection of bladder tumour, transcervical resection of endometrium, endometrial Mar 23, 2021 · Reporting a case of severe transurethral resection of the prostate syndrome and pulmonary edema following surgery. The incidence of TURP syndrome ranges from 0. 5%. Find out why you might need prostate surgery. Jan 1, 1992 · Résumé Le syndrome de résection transuréthrale de la prostate ou « TransUrethral Resection of the Prostate syndrome (TURP syndrome) traduit le passage dans l'organisme d'une fraction importante du liquide d'irrigation à base de glycocolle utilisé pendant la résection transuréthrale de la prostate (RTU). Learn symptoms, causes, and emergency treatment. Potential complications include hypotension, hemorrhage, bladder perforation, hypothermia, and the rare but serious TURP syndrome caused by May 4, 2009 · Approximately 40 000 transurethral resections of the prostate (TURP) are performed annually in the UK. Select the sign/symptom that the anesthesia provider would report in a patient experiencing TURP syndrome. 2 Therefore, TURP syndrome has features of water INTRODUCTION - TURP SYNDROME TURP (transurethral resection of the prostate) syndrome is an iatrogenic complication caused by absorption of the irrigating fluid which is used to distend the bladder during surgery. The TURP syndrome can start 4 to 24 hours later (12,14,27,54) with coma, blindness, grand ma1 sei- the single most important factor determining morbid- ity and mortality from hyponatremia (55). The risk of hyponatremia and TURP syndrome is very low when saline is used as an irrigation fluid for TURP, due to its slightly higher sodium concentration and osmolality compared to Mar 9, 2022 · Purpose of Review There are a variety of treatment options for men with symptomatic benign prostatic hyperplasia (BPH); transurethral resection of the prostate (TURP) remains the gold standard surgical treatment. Learn about the pathophysiology, investigations, treatment and prevention of this condition from LITFL, a critical care website. Despite guidelines for safe operative hysteroscopies, instances of OHIA syndrome have been reported. Visual disturbances Visual disturbances have be reported n asacomplication hyperammonaemia may cause d layed comabut both of TURP but only when glycine has been used asthe require only supportive therapy. This procedure has been in use for many years and is still considered the surgical gold standard for bladder outlet obstruction (BOO), with only some minor changes since its modern introduction in 1943 Transurethral resection of the prostate (TURP) involves the risk of transurethral resection (TUR) syndrome owing to hyponatremia. Normal saline An isotonic irrigation fluid, normal saline, is commonly used as the preferred and safer choice for TURP but can only be utilized when employing the bipolar electrosurgery technique [15, 16]. 14744/cm. It has been the standard Apr 23, 2014 · Background Transurethral resection of the prostate (TURP) involves the risk of transurethral resection (TUR) syndrome owing to hyponatremia. Transurethral resection of prostate (TURP) syndrome is a complication characterised by symptoms changing from an asymptomatic hyponatremic state to convulsions, coma and death due to absorption of irrigation fluid during TURP. ABSTRACT Transurethral resection of the prostate (TURP) syndrome is a systemic complication caused by excessive absorption of electrolyte-free irrigation fluids during transurethral resection of prostate or bladder tumors. This can also affect the bladder causing symptoms such a frequency (passing urine often) and urgency (needing to Transurethral Resection of the Prostate (TURP) is a surgical procedure primarily used to treat urinary problems due to an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH). Just after the end of the surgery, the Jan 26, 2023 · Take home messages Transurethral resection of the prostate (TURP) usually involves irrigation with fluid to improve visualisation for the surgeon, and excessive systemic absorption of this fluid can lead to TURP syndrome TURP syndrome is thought to occur in between 1 and 8% of TURPs Symptoms are neurological and cardiovascular in nature, with agitation, seizures, coma and fluid overload being Jan 15, 2024 · Introduction Sodium is the dominant extracellular cation and normally accounts for almost all the osmotically active solutes in the body. 1 Disorders of sodium balance (usually mild) can occur in up to 30% of in-patients,2 and are associated with increased mortality and length of hospital stay. Unfortunately, despite this improved understanding, it is not yet obsolete and still remains a risk. The major complication of spinal technique is risk of hypotension. Irrigation fluid type, duration of operation, and weight of resected mass have been evaluated as risk factors for TUR Feb 1, 2011 · TURP syndrome is due to absorption of irrigation fluid via open prostatic venous sinuses in sufficient quantities to cause hypervolaemia, hyponatraemia and hyperglycinaemia (if glycine is being used) leading to encephalopathy and cardiac, respiratory and renal failure. This has been termed the “post-TURP syndrome”. The volume of fluid absorbed during the procedure can be estimated with the following formula: where ECF Patients undergoing TURP were assessed for the preoperative plasma sodium and potassium levels (in meqL-1) using autoanalyser, on the day of surgery. Although this complication is well described previously, we st… 1 day ago · Transurethral resection of the prostrate (TURP) is the most common and preferred treatment for the patient with benign prostatic hyperplasia (BPH) when surgery is indicated (Ketabchi, Ketabchi, & Barkam, 2013; Watson, 2017). org. However, symptomatic improvement among patients is uniform, which supports this procedure as a historical benchmark surgical treatment for … Transurethral resection of the prostate (TUR-P) could incidentally cause hyponatremia, known as TUR syndrome due to intravascular absorption of non-electrolytic irrigation fluid. Early diagnosis is crucial to save patient's life. Mild forms are c … Approximately 40 000 transurethral resections of the prostate (TURP) are performed annually in the UK. This has been termed the "post-TURP syndrome. We present an even rarer case of a spinal cord injured patient who developed “TURP-like syndrome” after cystoscopy with Double-J Jan 24, 2025 · To compare outcomes of transurethral resection of the prostate (TURP) across different regions worldwide over the past two decades. Non-surgical post-TURP bleeding may be due to high concentrations of urokinase and tissue plasminogen activator (tPA) in the urine that We report a case of unusual presentation of transurethral resection of prostate (TURP) syndrome. Methods: This mixed Study with Quizlet and memorize flashcards containing terms like What is TURP syndrome?, What is the average amount of fluid absorbed during TURP?, 3 factors that affect the amount absorbed are? and more. 30 minutes after the end of the surgery, the TURP syndrome is defined as a constellation of signs and symptoms resulting from conditions such as circulatory overload, water intoxication, hyponatremia, glycine toxicity, ammonia toxicity, hemolysis, and coagulopathy, which may be further complicated by bacteremia or septicemia. The INTRODUCTION - TURP SYNDROME TURP (transurethral resection of the prostate) syndrome is an iatrogenic complication caused by absorption of the irrigating fluid which is used to distend the bladder during surgery. 5% glycine, 3% sorbitol, or 5% mannitol) are required for the use of unipolar cautery because they are non-conducting. - Symptoms can include cardiac issues like arrhythmias if sodium drops below 120 mEq/L, and neurological issues like INTRODUCTION TURP is a cystoscopic procedure used to alleviate the symptoms of bladder outflow obstruction, usually caused by benign prostatic hypertrophy (BPH). Complex shifts of water and electrolytes in the body accompany this absorption [2]. While effective for alleviating urinary symptoms, TURP, like any surgery, carries potential risks and complications. Central nervous system changes, circulatory and electrolyte imbalances are the main complications of endoscopic transurethral resection of the prostate (TURP) which is known as transurethral resection (TUR) syndrome, which occurs as result of Jul 2, 2015 · Fluid overload and dilutional hyponatremia are rare but typical complications of endoscopic transurethral resection of the prostate gland (TURP syndrome). The Jun 27, 2018 · Transurethral resection of the prostate (TURP) remains the gold standard treatment for benign prostatic hyperplasia. Annually, TURPs account for 150,000-300,000 surgeries (Ketabchi et al. A case of severe post-TURP syndrome due to the absorption of hypotonic glycine irrigant is Mar 27, 2022 · Central nervous system changes, circulatory and electrolyte imbalances are the main complications of endoscopic transurethral resection of the prostate (TURP) which is known as transurethral May 22, 2025 · Purpose This meta-analysis aims to assess the safety, efficacy, and outcomes of palliative transurethral resection of the prostate (TURP) for relieving urinary obstruction in patients with metastatic prostate cancer. Pathophysiology TURP syndrome is due to absorption of irrigation fluid via open prostatic venous sinuses in sufficient quantities to cause hypervolaemia, hyponatraemia and hyperglycinaemia (if glycine is being used) leading to encephalopathy and cardiac, respiratory and renal failure. As the name indicates, it is performed by visualising the prostate through the urethra and removing tissue by electrocautery or sharp dissection. The syndrome is characterized by acute changes in volume status and plasma solute concentrations . Apr 1, 2022 · Transurethral resection of prostate (TURP) is a rare but extremely dangerous condition. Study with Quizlet and memorize flashcards containing terms like TURP, TURP is, Irrigation of closed body spaces may lead to and more. This can cause dangerous complications by rapidly shifting intravascular volume. His p… Nov 30, 2022 · We report a case of transurethral resection of the prostate (TURP) syndrome with mild hyponatremia, severe lactic acidosis, and hypotension. TURP syndrome is a state of severe hyponatremia, caused by systemic absorption of irrigating fluid during the procedure. As the prostate gets bigger it can squeeze on the urethra making urination difficult. Patients who undergo a TURP with a neuraxial anesthetic and who remain awake will often complain of nausea, headache, and dizziness as the first manifestations of TURP syndrome, which progresses to dyspnea and Patients undergoing transurethral resection of the prostate (TURP) surgery can develop TURP syndrome and post-TURP bleeding. The average amount of irrigating fluid absorbed during TURP is ~20 mL/min of resection time. 1 Nevertheless, the morbidity of the procedure, notably TURP-syndrome, bleeding and urethral stricture, remains significant at 11. Transurethral resection of the prostate (TURP) is the most common surgical procedure performed for bladder outlet obstruction due Feb 13, 2015 · Specific complications Turp syndrome TURP syndrome, a constellation of symptoms and signs caused by excessive absorption of the irrigating fluid, may occur at any time perioperatively. Ce syndrome apparaît à la suite d’une absorption massive dans le compartiment intravasculaire du liquide d’irrigation faiblement hypotonique qui est utilisé lors du lavage et qui contient de la Summary Transurethral resection syndrome (TUR syndrome) is a rare but serious complication of endoscopic procedures. The syndrome appears See full list on nysora. Post-TURP bleeding can be surgical, from arteries or venous sinuses, or non-surgical, due to coagulopathy preventing clot formation. Although increasingly being treated medically, some men require surgical intervention. This syndrome is caused by excessive absorption of Transurethral resection of the prostate (TURP) syndrome is the result of complex changes in intravascular volume, solute, and neurophysiologic function. The factors affecting the development of TURP syndrome are PubMed Central (PMC) offers free access to a vast collection of biomedical and life sciences journal literature. They include medical treatment with alpha-blockers, 5-alpha reductase inhibitors, minimally invasive therapy, endoscopic and open surgical surgery. 5% glycine, 3% sorbitol, or 5% mannitol) are required for the use of unipolar cautery because they are non Nov 17, 2017 · We report the case of a 78-year old patient, with no particular past medical history, who underwent transurethral resection of the prostate (50 g) under spinal anesthesia for benign hypertrophy. TURP syndrome is Jul 19, 2014 · Transurethral resection of the prostate (TURP) continues to be the most common treatment in the operative management of benign prostatic hypertrophy (BPH). 2024. 1 Normal serum sodium ranges from 135 to 145 mEq/L. Immediate ABSTRACT Background: TURP syndrome is one of the complications in patients with post-TURP. TURP remains the surgical gold standard for the treatment of benign prostatic hyperplasia (BPH), which causes urinary obstruction and increases the risk of urinary tract infection. , 2013; Urology Care Foundation, 2017). pzc cni kxjotn gcqr dgxays jymwdb tduxlbt twwkn arqxp gkxqo