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Related Experiment Videos

Transurethral resection syndrome after bladder perforation.

Ihab Dorotta1, Ayman Basali, Michael Ritchey

  • 1Departments of Anesthesiology, *Cleveland Clinic Foundation, Cleveland, Ohio; and †Mayo Clinic, Rochester, Minnesota.

Anesthesia and Analgesia
|October 23, 2003
PubMed
Summary

Transurethral resection of bladder tumor (TURBT) can lead to a rare TURBT syndrome. This condition involves bladder perforation and dangerous hydroelectrolyte imbalances, requiring careful diagnosis and management.

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Area of Science:

  • Urology
  • Surgical Complications
  • Nephrology

Background:

  • Transurethral resection of bladder tumor (TURBT) relies on irrigating solutions for surgical visualization.
  • Bladder perforation during TURBT can cause irrigant extravasation into the peritoneal cavity.

Observation:

  • This case series reports four instances of TURBT syndrome following bladder perforation.
  • Patients presented with hyponatremia, intravascular volume deficit, and renal impairment.

Findings:

  • TURBT syndrome is a rare but serious complication of TURBT.
  • The syndrome results from intraperitoneal extravasation of irrigating fluid.
  • Key features include hydroelectrolyte imbalance and acute kidney injury.

Implications:

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  • Early recognition and prompt management are crucial for favorable outcomes.
  • Understanding the pathophysiology aids in preventing and treating this rare complication.
  • This highlights the importance of careful surgical technique during TURBT.