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Summary
This study found no significant serum sodium changes after transurethral resection of the prostate (TURP). The rare TURP syndrome was not observed, suggesting improved surgical practices mitigate risks.
Area of Science:
- Urology
- Nephrology
- Surgical Safety
Background:
- Transurethral resection of the prostate (TURP) can lead to TURP syndrome, a rare but serious complication.
- Monitoring serum sodium levels is crucial during and after TURP procedures.
Purpose of the Study:
- To investigate the incidence of serum sodium changes following TURP.
- To evaluate the occurrence of TURP syndrome in a contemporary patient cohort.
Main Methods:
- Retrospective and prospective analysis of 500 patients undergoing TURP.
- Serum sodium levels were monitored post-operatively.
Main Results:
- No significant incidence of induced hyponatraemia was observed.
- The TURP syndrome has not been clinically encountered in the department for 10 years.
Conclusions:
- Contemporary TURP procedures, utilizing an irrigating resectoscope and performed by experienced surgeons, appear to have a very low risk of TURP syndrome.
- Simplified patient management protocols may also contribute to improved safety outcomes.