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Updated: Apr 12, 2026

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser
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Acute digitalis toxicity during TURP.

L L Bready, B H Hoff, R C Boyd

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    Summary
    This summary is machine-generated.

    Water absorption during prostate surgery can dilute electrolytes, causing low potassium. This may trigger digitalis toxicity in patients on digitalis medication, but successful resuscitation is possible.

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    Area of Science:

    • Urology
    • Nephrology
    • Cardiology

    Background:

    • Transurethral resection of the prostate (TURP) involves irrigating the prostate.
    • Fluid absorption into venous sinuses during TURP is a known complication.
    • Electrolyte imbalances can occur due to fluid absorption.

    Observation:

    • Water can enter opened prostate venous sinuses during TURP.
    • This can lead to dilution of serum electrolytes, particularly potassium.
    • Dilutional hypokalemia poses a risk for patients on digitalis therapy.

    Findings:

    • The study reports a case of successful resuscitation in a patient experiencing digitalis toxicity.
    • The toxicity was precipitated by dilutional hypokalemia secondary to TURP.
    • This highlights the critical link between surgical fluid management and cardiac medication safety.

    Implications:

    • Awareness of potential electrolyte disturbances during TURP is crucial.
    • Monitoring and management of potassium levels are vital in digitalized patients undergoing TURP.
    • This case underscores the importance of a multidisciplinary approach to patient safety in urological surgery.