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TUR syndrome - A report.

Vinay Kumar1, Kumar Vineet1, Adiveeth Deb1

  • 1Department of General Surgery, GSVM Medical College & LLR Hospital, Kanpur, India.

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Summary
This summary is machine-generated.

Transurethurethral resection of the prostate (TURP) syndrome is a rare but serious complication. Early diagnosis and treatment of TURP syndrome, involving hyponatremia and hyperkalemia, are crucial for patient recovery.

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Area of Science:

  • Urology
  • Nephrology
  • Anesthesiology

Background:

  • Transurethral resection of the prostate (TURP) is a common surgical procedure for benign prostatic hyperplasia.
  • TURP syndrome is a potentially life-threatening complication associated with the absorption of irrigating fluid during the procedure.

Observation:

  • An 80-year-old male patient developed symptoms of TURP syndrome, including bradycardia, hypertension, hypoxemia, and confusion, immediately after surgery.
  • Electrolyte analysis revealed severe hyponatremia (120.6 mmol/L) and hyperkalemia (6.48 mmol/L).

Findings:

  • The patient's condition was diagnosed as a typical case of TURP syndrome.
  • Treatment with hypertonic saline solution and nebulized levosalbutamol led to a successful recovery.

Implications:

  • This case highlights the importance of recognizing and promptly managing TURP syndrome.
  • Early intervention can prevent severe complications and ensure favorable patient outcomes.
  • Awareness of TURP syndrome is essential for urologists and anesthesiologists involved in prostate surgery.