Irrigation fluid absorption syndrome during HoLEP: A case study
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Updated: Aug 25, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Charlotte Slots1, Pieter Uvin1, Emma Van Damme2
1Department of Urology, Algemeen Ziekenhuis Sint Jan, Bruges, Belgium.
Abstract:
The classical transurethral resection syndrome as described with monopolar prostate resection has become rare since the switch to bipolar resection and even more so since the introduction of HoLEP. We report a case of a 74-year-old male patient who presented with an irrigation fluid absorption syndrome during a HoLEP for benign prostate hypertrophy. Biochemically this presented as metabolic acidosis and hyperchloremia instead of hyponatremia. He was treated with diuretics and had a swift recovery.
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