Abstract
We report a case of transurethral resection of prostate (TURP) syndrome. A 78-year-old man with prostatic hypertrophy was scheduled for transurethral resection of the prostate under spinal anesthesia. 30 minutes after the end of the surgery, the patient presented signs of TURP syndrome with bradycardia, arterial hypotension, cyanosis, hypoxemia and coma. The electrolytes analysis revealed an acute hyponatremia (sodium concentration 125 mmol/L). Medical treatment consisted of hypertonic saline solution 3%, volume expansion, intubation and ventilation. The presented case describes a typical TURP syndrome, which was diagnosed and treated early. The patient was discharged from hospital without any complications.
Keywords:
TURP syndrome; Transurethral resection; coma; hypertonic saline; hyponatremia.
MeSH terms
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Absorption
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Aged
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Anesthesia, Spinal
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Bradycardia / chemically induced*
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Bradycardia / drug therapy
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Coma / etiology
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Combined Modality Therapy
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Glycine / administration & dosage
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Glycine / adverse effects*
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Glycine / pharmacokinetics
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Humans
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Hydroxyethyl Starch Derivatives / therapeutic use
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Hyponatremia / chemically induced*
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Hypotension / chemically induced*
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Hypotension / drug therapy
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Hypoxia / blood
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Hypoxia / etiology
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Hypoxia / therapy
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Male
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Norepinephrine / therapeutic use
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Plasma Substitutes / therapeutic use
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Postoperative Complications / blood
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Postoperative Complications / chemically induced*
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Postoperative Complications / drug therapy
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Postoperative Complications / therapy
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Postoperative Nausea and Vomiting / chemically induced
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Prostatic Hyperplasia / surgery
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Respiration, Artificial
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Saline Solution, Hypertonic / therapeutic use
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Solutions / administration & dosage
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Solutions / adverse effects*
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Solutions / pharmacokinetics
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Syndrome
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Therapeutic Irrigation / adverse effects*
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Transurethral Resection of Prostate*
Substances
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Hydroxyethyl Starch Derivatives
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Plasma Substitutes
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Saline Solution, Hypertonic
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Solutions
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Glycine
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Norepinephrine