How do you prevent TURP syndrome?

How do you prevent TURP syndrome?

TURP syndrome treatment can be divided into management of volume changes and management of solute changes (hyponatraemia, hypoosmolality, and direct toxicity of irrigation fluid used). Newer techniques of transurethral prostatic resection promise a reduced risk of TURP syndrome.

What is TURP syndrome?

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.

How does TURP syndrome occur?

Transurethral Resection of the Prostate (TURP) Syndrome is a rare but potentially life-threatening complication of a transurethral resection of the prostate procedure. It occurs as a consequence of the absorption of the fluids used to irrigate the bladder during the operation into the prostatic venous sinuses.

How is TURP syndrome treated?

If you experience the symptoms of TURP syndrome during your procedure, the surgeon will stop the surgery and inject you with a diuretic, which is a type of medication used to remove fluid from the body.

How does TURP syndrome cause hypotension?

Apart from TURP syndrome, hemorrhage, bladder perforation and high spinal anesthesia, parasympathetic reflex during TURP is another reason which can cause hypotension and bradycardia. We suggest that the strict monitoring of vital signs should be performed and the vasoactive drugs should be prepared during TURP.

What is glycine toxicity?

The signs of glycine toxicity are nausea, vomiting, slow respiration, seizures, spells of apnoea and cyanosis, hypotension, oliguria, anuria and then death. When arginine, another nonessential amino acid is added to the glycine infusion, the toxic effect of glycine on the heart is blunted.

Does TURP cause infertility?

One of the complications of TURP is postoperative retrograde ejaculation, which accounts for not only male infertility but also impaired sexual satisfaction [17]. The rate of retrograde ejaculation after TURP approximated 70–90% [18, 19].

Which fluid is used in TURP?

Glycine solution is the most commonly used irrigant in TURP. Many studies performed on human denoting that glycine absorption causes echocardiogram changes and it is associated with increased troponin I [6].

What are the complications of TURP?

What are the risks of a TURP?

• Bladder injury.
• Bleeding.
• Blood in the urine after surgery.
• Electrolyte abnormalities.
• Infection.
• Loss of erections.
• Painful or difficult urination.
• Retrograde ejaculation (when ejaculate goes into the bladder and not out the penis)

What is monopolar TURP?

Monopolar TURP is still the standard surgical approach in benign prostate syndrome, and has excellent results with regard to subjective and objective symptoms. 1, 2, 3. Advances in technology and methods over the years have considerably improved the safety profile of TURP, both in terms of surgery and anesthesia.

Is hypertension a symptom of TURP syndrome?

Just after the end of the surgery, the patient presented signs of TURP syndrome with bradycardia, arterial hypertension, hypoxemia and dizziness-confusion.

TURP Syndrome, or TUR syndrome, is an uncommon but serious complication of a specific type of prostate surgery. There are multiple types of prostate surgeries, but the transurethral resection of prostate surgery (TURP) , is one of the most common and the one most closely associated with TUR syndrome.

What is TUR syndrome and how is it treated?

TURP Syndrome, or TUR syndrome, is an uncommon but serious complication of a specific type of prostate surgery. There are multiple types of prostate surgeries, but the transurethral resection of prostate surgery (TURP), is one of the most common and the one most closely associated with TUR syndrome. 1

What is transurethral resection of prostate (TURP)?

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.

How does TURP treat benign prostatic hyperplasia?

TURP helps reduce urinary symptoms caused by benign prostatic hyperplasia (BPH), including: Frequent, urgent need to urinate Difficulty starting urination Slow (prolonged) urination Increased frequency of urination at night Stopping and starting again while urinating The feeling you can’t completely empty your bladder Urinary tract infections