[TUR syndrome as a late postoperative complication. Case report]

Area of Science:

• Urology
• Surgical Complications
• Intensive Care Medicine

Background:

• Transurethral resection of the prostate (TURP) is a common procedure for benign prostatic hyperplasia.
• TURP syndrome is a rare but potentially serious complication associated with fluid absorption during surgery.
• Bladder perforation is a known risk during TURP, potentially increasing fluid extravasation.

Observation:

• An 81-year-old male patient presented with symptoms of TURP syndrome approximately 1.5 hours post-TURP.
• The patient's TURP surgery was complicated by a bladder dome perforation.
• Significant intraperitoneal extravasation of irrigating fluid and subsequent intravascular resorption were noted.

Findings:

• The patient's TURP syndrome developed gradually, linked to bladder perforation and fluid extravasation.
• Early diagnosis of TURP syndrome was crucial for timely intervention.
• Intensive care management was initiated promptly following diagnosis.

Implications:

• This case underscores the critical need for vigilance in diagnosing TURP syndrome, especially after complicated TURP procedures.
• Rapid initiation of intensive care is vital for managing TURP syndrome and ensuring favorable patient outcomes.
• Awareness of bladder perforation as a risk factor for increased fluid absorption is essential for surgical planning and patient monitoring.