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Turp syndrome. This has been termed the “post-TURP syndrome”.
Turp syndrome. It has been the standard This article discusses the presentation, aetiology, treatment and prevention of central nervous system disturbances after transurethral resection of the prostate. TURP syndrome can begin as early as 15 minutes after resection begins and can last up to 24 hours after surgery. 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. Specifically, the role of general versus regional anesthesia, the treatment of hyponatremia, and ways to prevent the development of TURP syndrome are reviewed. Rapid correction of sodium with hypertonic saline. Sixty American Society of Anesthesiologists physical status classes Feb 1, 2011 · 2. 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 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. 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. TURP syndrome is a state of severe hyponatremia, caused by systemic absorption of irrigating fluid during the procedure. This syndrome is caused by excessive absorption of Transurethral resection of the prostate (TURP) involves the risk of transurethral resection (TUR) syndrome owing to hyponatremia. 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. 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 A 57-year-old man was scheduled to undergo Transurethral resection of prostate (TURP) for benign prostatic hypertrophy. Treatement with CPAP-PSV Pro was successful. The volume of fluid absorbed during the procedure can be estimated with the following formula: where ECF 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). 14744/cm. The syndrome is characterized by cardiocirculatory and neurological problems due to rapid changes in intravascular volume and plasma solute … This document discusses complications that can occur with transurethral resection of the prostate (TURP). We present an even rarer case of a spinal cord injured patient who developed “TURP-like syndrome” after cystoscopy with Jan 1, 2001 · Trans Urethral Resection of Prostate (TURP) syndrome is one of the commonest and dreaded complications of urological endoscopic surgery. 1 TURP syndrome is caused by excessive absorption of hypotonic electrolyte-free irrigating fluid into the circulation. The syndrome has also We report a case of unusual presentation of transurethral resection of prostate (TURP) syndrome. It describes TURP syndrome, which involves excessive absorption of irrigating fluid during the procedure leading to dilutional hyponatremia and related neurological and cardiovascular issues. A 73-year-old man with benign prostatic hyperplasia underwent monopolar TURP. Mild forms are c … C. A 58-year-old male patient with grade III benign hypertrophic hyperplasia was scheduled for TURP under spinal anesthesia. 4%. In this case report, the development of TURP syndrome in a patient undergoing TURP under general anaesthesia and the risk factors, symptoms and the importance of early diagnosis and treatment of the syndrome is presented. The clinical picture is inconsistent and the syndrome is easily confused with other acute disorders. It is then passed through the tube that carries urine from your bladder 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). A thorough pre-op assessment helps determine anesthesia technique, with subarachnoid block preferred. Six days post-discharge, the patient presented at the emergency department with signs of clot retention and TURP Syndrome is a rare surgical complication involving fluid absorption during prostate surgery. TURP syndrome is a rare but serious complication of transurethral resection of the prostate (TURP) procedure. Post-TURP bleeding can be surgical, from arteries or venous sinuses, or non-surgical, due to coagulopathy preventing clot formation. Le TURP 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. 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. Learn about the risk factors, signs, and interventions for TURP syndrome. Transurethral resection of the prostate (TURP) syndrome is fluid overload and iso-osmolar hyponatraemia during TURP from large volumes of irrigation fluid being absorbed through venous sinuses Transurethral resection of the prostate (TURP) syndrome is a rare but potentially life-threatening complication of a transurethral resection of the prostate procedure. As the name indicates, it is performed by visualising the prostate through the urethra and removing tissue by electrocautery or sharp dissection. TURP remains the surgical gold standard for the trea TURP syndrome is considered a serious complication in urology surgery. Learn more about the TURP procedure. Methods After obtaining Transurethral resection of the prostate (commonly known as a TURP, plural TURPs, and rarely as a transurethral prostatic resection, TUPR) is a urological operation. Unfortunately, despite this 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 Sep 4, 2023 · Transurethral resection of the prostate or TURP is a procedure where the prostate is resected from an endoscopic approach. Transurethral resection of the prostate (TURP) syndrome describes the symptomatic absorption of hypotonic irrigation fluid used during a TURP procedure, the culmination of which could possibly lead to death. The found heterogeneity may indicate a lack of standardization in TURP procedures. The factors affecting the development of TURP syndrome are Sep 6, 2022 · Prostate surgery, or prostatectomy, refers to procedures done to remove the prostate, or parts of it. 5% glycine, 3% sorbitol, or 5% mannitol) are required for the use of unipolar cautery because they are non Transurethral resection of the prostate (TURP) syndrome is fluid overload and iso-osmolar hyponatraemia during TURP from large volumes of irrigation fluid being absorbed through venous sinuses Transurethral resection of the prostate (TURP) syndrome is a rare but potentially life-threatening complication of a transurethral resection of the prostate procedure. PubMed Central (PMC) offers free access to a vast collection of biomedical and life sciences journal literature. 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. Absorption of large volumes of irrigation fluid during transurethral resection of the prostate (TURP) can produce hyponatremia, coma, blindness, and cardiorespiratory depression. Whether hemolysis itself leads to acute renal failure merits discussion. Problems may be fore- stalled by using loop and other salt 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. Six days post-discharge, the patient presented at the emergency department with signs of clot retention and Absorption of large volumes of irrigation fluid during transurethral resection of the prostate (TURP) can produce hyponatremia, coma, blindness, and cardiorespiratory depression. Transurethral resection of the prostate (TURP) syndrome is a rare but potentially life-threatening complication of transurethral resection of the prostate procedure Anesthesia board review for TUPR Discusses the anesthesia considerations and management of TURP and TUPR syndrome TURP syndrome is a distinct clinical entity characterized by a constellation of sign-symptoms secondary to neurological, cardiovascular and electrolyte imbalance resulting from the absorption of the irrigation fluid through prostatic venous sinusoids or breaches in the prostatic capsule during TURP. Complex shifts of water and electrolytes in the body accompany this absorption [2]. Seizure Benzodiazepines +/- AEDs Consider magnesium (NMDA receptor stabilization) Hypocalcemia - replete Monitor hemoglobin, transfuse pRBCs PRN May require dialysis in severe cases Disposition ICU See Also Hyponatremia External Links Life in the Fast Lane - TURP Syndrome References 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 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). A transurethral resection of the prostate (TURP) is a surgical procedure that involves cutting away a section of the prostate. 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 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. Even in the best of hands, the incidence of TURP syndrome 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. Although minimally invasive surgical therapies (MIST) have emerged, offering fewer complications, and enucleation procedures have advanced, demonstrating lower reoperation To investigate what clinical features typically present in transurethral resection (TUR) syndrome and to see which classically present first. However, symptomatic improvement among patients is uniform, which supports this procedure as a historical benchmark surgical treatment for … Study with Quizlet and memorize flashcards containing terms like TURP, TURP is, Irrigation of closed body spaces may lead to and more. It is a less invasive approach than traditional suprapubic or retropubic open prostatectomy. The chapter is divided into preoperative, intraoperative, and postoperative sections with important Nov 15, 2024 · In the last 20 years there has not been a clear trend in the results of TURP. Hypotonic solutions (1. 1 Normal saline cannot be used as irrigation solution with 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. TURP syndrome nor a significant change in serum osmolality has been reported (39). 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. Potential complications include hypotension, hemorrhage, bladder perforation, hypothermia, and the rare but serious TURP syndrome caused by Apr 23, 2014 · Background Transurethral resection of the prostate (TURP) involves the risk of transurethral resection (TUR) syndrome owing to hyponatremia. The average amount of irrigating fluid absorbed during TURP is ~20 mL/min of resection time. Transurethral resection of the prostate (TURP) is the gold standard for treating patients with BPH. We report a patient with chronic renal insufficiency who developed oliguric acute renal failure immediately as a Mar 23, 2021 · Reporting a case of severe transurethral resection of the prostate syndrome and pulmonary edema following surgery. 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 rare but serious complication of transurethral resection of prostate (TURP) surgery, caused by fluid absorption and electrolyte imbalance. However due to the significant complication associated INTRODUCTION TURP is a cystoscopic procedure used to alleviate the symptoms of bladder outflow obstruction, usually caused by benign prostatic hypertrophy (BPH). Strict criteria provide the basis for determining if the Apr 1, 2022 · Transurethral resection of prostate (TURP) is a rare but extremely dangerous condition. Monopolar resection is the most available method of endoscopic 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. It explains how the operation is done, how it can help, what the risks are, and what to expect afterwards. This has been termed the "post-TURP syndrome. 5%. Learn about the pathophysiology, investigations, treatment and prevention of this condition from LITFL, a critical care website. 78% to 1. A case of severe post-TURP syndrome due to the absorption of hypotonic glycine irrigant is Nov 21, 2024 · The authors report a case of delayed transurethral resection of prostate (TURP) syndrome. The variety of mechanisms and pathways that lead to transurethral resection of the prostate (TURP) syndrome. the perivesicular and retroperitoneal spaces (26). Many reviews of TURP syndrome have … Approximately 40 000 transurethral resections of the prostate (TURP) are performed annually in the UK. They include medical treatment with alpha-blockers, 5-alpha reductase inhibitors, minimally invasive therapy, endoscopic and open surgical surgery. The most common indication for TURP is moderate to severe symptoms of BPH, which are 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. 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). Early diagnosis is crucial to save patient's life. It is used to treat benign prostatic hyperplasia (BPH). Non-surgical post-TURP bleeding may be due to high concentrations of urokinase and tissue plasminogen activator (tPA) in the urine that 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. uk 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. It carries risks due to the elderly patient population and long duration. However, in rare cases, they can be rapidly absorbed through 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 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. The main symptoms are connected with cardiovascular disorders (hypo-and hyperkinetics) as Nov 30, 2022 · We report a case of transurethral resection of the prostate (TURP) syndrome with mild hyponatremia, severe lactic acidosis, and hypotension. The purpose of the present study was to identify risk factors related to TUR syndrome in the elderly. It was the first major, minimally invasive surgery of the modern era. 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. He was catheterised for acute urinary retention three months back. The safest treatment of hyponatremia and hypoosmolality may zures, and hemiplegia (14,54). 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. The incidence of TURP syndrome ranges from 0. 5% glycine, 3% sorbitol, or 5% mannitol) are required for the use of unipolar cautery because they are non-conducting. 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 . Irrigation fluid type, duration of operation, and weight of resected mass have been evaluated as risk factors for TUR syndrome. Irrigation fluid type, duration of operation, and weight of resected mass have been evaluated as risk factors for TUR Oct 12, 2009 · Anaesthesia For Transurethral Resection Of The Prostate (TURP) Dr. Find out why you might need prostate surgery. This syndrome may potentially cause neurologic disturbance, pulmonary edema, cardiovascular compromise, and death. 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. Perioperative morbidity from this procedure ranges between 18% and 26% and the mortality rate may be as high as Feb 15, 2022 · Background: There are many options for managing benign prostatic hyperplasia (BPH). Nausea and vomiting, visual symptoms, and altered states of consciousness have been reported as complications due to intravascular absorp … Jul 12, 2024 · Patients undergoing transurethral resection of the prostate (TURP) surgery can develop TURP syndrome and post-TURP bleeding. Annually, TURPs account for 150,000-300,000 surgeries (Ketabchi et al. 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). org. Although monopolar TURP is considered a safe and effective option for surgical management of BPO, there are some May 4, 2009 · Approximately 40 000 transurethral resections of the prostate (TURP) are performed annually in the UK. We report two cases of sudden occurence of hypotension and bradycardia during 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. When 3% mannitol irrigation was used on one TURP patient, nitude typically associated with severe TURP syndrome. Transurethral resection (TUR) syndrome, one compli 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. An instrument called a resectoscope is placed through the tip of the penis. 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 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]. 2024. Patients undergoing transurethral resection of the prostate (TURP) surgery can develop TURP syndrome and post-TURP bleeding. 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 Jun 27, 2018 · Transurethral resection of the prostate (TURP) remains the gold standard treatment for benign prostatic hyperplasia. 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 Figure showsthe complex interactions that need to be considered Spinal anaesthesia is considered to be the technique of choice for TURP. This has been termed the “post-TURP syndrome”. 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. The document outlines other potential complications like perforation of the bladder, urinary 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 Summary Transurethral resection syndrome (TUR syndrome) is a rare but serious complication of endoscopic procedures. Ritu Gupta Hillingdon Hospital, Uxbridge, UK Correspondence to ritugupta@doctors. , 2013; Urology Care Foundation, 2017). The pathophysiology and management of this syndrome are controversial. It can lead to hypertension, hypotension, hyponatremia, pulmonary edema, and death. Learn about the risk factors, pathophysiology, prevention, diagnosis and treatment of TURP syndrome in this comprehensive article. Learn symptoms, causes, and emergency treatment. Oct 1, 2018 · Abstract In this chapter the essential aspects of anesthesia for transurethral resection of the prostate (TURP) syndrome are discussed. The mortality rate associated 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). 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. A case of severe post-TURP syndrome due to the absorption of hypotonic glycine irrigant is 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. A case of severe post-TURP syndrome due to the absorption of hypotonic glycine irrigant is 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. The syndrome appears See full list on nysora. 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 Transurethral resection of the prostate (TURP) syndrome is a complication of transurethral resection of the prostate procedure. 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. 2 Therefore, TURP syndrome has features of water Background: Transurethral resection of the prostate (TURP) syndrome is a rare, but extremely dangerous complication. At 120 min of surgery, the patient 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]. Unfortunately, despite this improved understanding, it is not yet obsolete and still remains a risk. Le grand syndrome complet associant dyspnée, nausées, hypertension artérielle Transurethral resection of the prostate (TURP) syndrome is the result of complex changes in intravascular volume, solute, and neurophysiologic function. Urologists should suspect this complication in prolonged TURP surgery. 90 minutes after the beginning of the procedure, the patient had nausea, vomiting, visual fog and bradyca … Oct 27, 2019 · What we did and why C. Hemolysis does happen during TURP. Select the sign/symptom that the anesthesia provider would report in a patient experiencing TURP syndrome. Post-TURP bleeding can be surgical, from arteries or venous sinuses, or non-surgical, due to coagulopathy preventing clot . 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. We report a patient with chronic renal insufficiency who developed oliguric acute renal failure immediately as a Nov 21, 2024 · The authors report a case of delayed transurethral resection of prostate (TURP) syndrome. TURP is still the standard surgical procedure for treatment of benign prostate hyperplasia. 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. 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 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 pathophysiology and management of this syndrome are controversial. 2024; 16 (2): 123-127 | DOI: 10. 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. Between 1% and 8% of TURP procedures are complicated by TURP syndrome [1]. It occurs when irrigating fluids are absorbed into the bloodstream and cause fluid overload, hyponatremia, hyperammonaemia and hypothermia. 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 Jan 1, 2002 · Transurethral resection of the prostate (TURP) has been the standard treatment for moderate to severe benign prostatic hypertrophy since the 1930s. 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]. The purpose of the study was to establish whether or not a particular method of anesthesia is preferred in Transurethral resection of the prostate (TURP) syndrome: a review of the pathophysiology and management TURP is a procedure to relieve urinary symptoms from an enlarged prostate. Seizure Benzodiazepines +/- AEDs Consider magnesium (NMDA receptor stabilization) Hypocalcemia - replete Monitor hemoglobin, transfuse pRBCs PRN May require dialysis in severe cases Disposition ICU See Also Hyponatremia External Links Life in the Fast Lane - TURP Syndrome References 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. Although this complication is well described previously, we st… 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. mbjkdzkvrelvjxlexpbrvkfqohbfbcvcabvlbnumuavywggdwzltze