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Nonoliguric renal failure after transurethral prostatic resection

R L Wan, A H Irvine, S L Jindal

    Urology
    |August 1, 1976
    PubMed
    Summary
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    Acute nonoliguric renal failure can occur after transurethral prostatectomy. This condition, marked by rising azotemia with normal urine output, requires urologist awareness due to potential dialysis needs and fatalities.

    Area of Science:

    • Nephrology
    • Urology
    • Surgical Complications

    Background:

    • Transurethral prostatectomy (TURP) is a common procedure for benign prostatic hyperplasia.
    • Renal failure is a known, though infrequent, complication following TURP.
    • Nonoliguric renal failure presents a distinct clinical picture compared to the oliguric form.

    Observation:

    • Six cases of acute nonoliguric renal failure post-TURP were analyzed.
    • Patients presented with increasing azotemia.
    • Urine output remained normal or was increased in these cases.

    Findings:

    • Acute nonoliguric renal failure following TURP typically follows a milder clinical course than the oliguric variant.
    • Despite a milder course, some patients necessitate renal replacement therapy (dialysis).

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  • Fatalities, although rare, are possible outcomes of this condition.

    • Implications:

    • Urologists must be aware of acute nonoliguric renal failure as a potential post-TURP complication.
    • Early recognition, indicated by rising azotemia with preserved urine output, is crucial.
    • Vigilance is necessary to manage patients who may require dialysis or face adverse outcomes.