[TURP syndrome: about a case].

Area of Science:

• Urology
• Nephrology
• Anesthesiology

Background:

• Transurethral resection of the prostate (TURP) is a common procedure for benign prostatic hyperplasia.
• TURP syndrome is a rare but potentially serious complication characterized by fluid overload and electrolyte imbalances.
• Spinal anesthesia is frequently used for TURP, offering potential advantages in monitoring.

Observation:

• A 78-year-old male patient developed symptoms including nausea, vomiting, visual disturbances, and bradycardia 90 minutes into a TURP procedure.
• These symptoms suggested the onset of TURP syndrome.
• Laboratory results revealed severe hyponatremia with a serum sodium level of 118 meq/L.

Findings:

• The patient was diagnosed with TURP syndrome secondary to absorption of irrigant fluid.
• Treatment with intravenous 3% hypertonic saline solution was initiated.
• The patient showed a positive clinical response to the hypertonic saline treatment.

Implications:

• This case highlights the importance of recognizing early signs of TURP syndrome, even in moderate occurrences.
• Alertness of the patient under spinal anesthesia facilitated timely diagnosis and intervention.
• Effective management of TURP syndrome with hypertonic saline can lead to favorable patient outcomes.