Propofol for the management of glycine-mediated excitatory symptoms of TURP syndrome

In this chapter several topics related to neuroanesthesia are discussed. Subtopics include management of a partially ruptured cerebral aneurysm, resection of an intracranial tumor, and pathogenesis of autonomic hyperreflexia. Also addressed is triple H therapy for cerebral vasospasm. Ways of preventing transurethral retrograde prostatectomy (TURP) syndrome are presented. Concerns regarding resection of a growth hormone–secreting pituitary tumor are also discussed. Lithium therapy is addressed in the context of electroconvulsive therapy. Anesthetic management in a patient with hyponatremia is discussed, as is evaluation of peripheral neuropathy. Precautions to prevent exacerbation of multiple sclerosis symptoms are outlined. Each scenario is presented as a short, three- to four-question additional topic.

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Retrospective Review of TURP Done in One Year and Report on Postoperative Outcome

KYAMC Journal ◽

10.3329/kyamcj.v4i1.32252 ◽

2017 ◽

Vol 4 (1) ◽

pp. 321-325

Author(s):

Md Mohsin Uddin ◽

Ruhul Amin ◽

Md Mostafizur Rahman ◽

Sirajum Monira Chowdhury ◽

Md Rashed Khan ◽

...

Keyword(s):

Prophylactic Antibiotic ◽

Postoperative Outcome ◽

Transurethral Resection Of Prostate ◽

Indwelling Catheter ◽

Medical College ◽

Febrile Uti ◽

Turp Syndrome ◽

One Year ◽

Acute Retention ◽

Selection Of

To assess the short-term clinical outcome of transurethral resection of prostate (TURP) at Khwaja Yunus Ali Medical College & Hospital (KYAMCH).This is a retrospective study performed in the urology department of our hospital for a period of one year. For all patients conventional monopolar resection was performed. Glycine was used as irrigant. Usually patients were admitted 1 day before surgery. TURP was performed under spinal anesthesia. All patients received intravenous prophylactic antibiotic. In most patients we have removed indwelling catheter on 2nd postoperative day.In one year, we have performed 45 TURPs. The median age of the patient was 67.0(48-85) years. Most common indication was acute retention of urine (62.2%). Median prostatic volume was 52.3mls on transabdominal ultrasound. The median weight of resected prostatic tissue was 24.25gm (5-60 gms), with a median resection time of 63.5 min. There was no mortality. Five patients (11.1%) received blood transfusion during or immediate post operative period of TURP. No patient develop TURP syndrome, one patient developed post-TURP febrile UTI. No patient developed permanent incontinence in our study.TURP is safe and effective in reducing the symptoms and complications related to benign prostatic hyperplasia .Advances in techniques, instrumentation, surgical and perioperative management, careful selection of patients and early catheter removal policy might increase the efficiency of TURP with acceptable complication rates.KYAMC Journal Vol. 4, No.-1, July 2013, Page 321-325

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Serum potassium change during the TURP syndrome by cell volume regulation

Canadian Journal of Anesthesia/Journal canadien d anesthésie ◽

10.1007/bf03008796 ◽

1992 ◽

Vol 39 (3) ◽

pp. 300-300

Author(s):

Munetaka Hirose ◽

Yoshifumi Tanaka

Keyword(s):

Cell Volume ◽

Serum Potassium ◽

Volume Regulation ◽

Cell Volume Regulation ◽

Turp Syndrome

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FRESH GRADUATE UROLOGIST IN EASTERN INDONESIA: FIRST YEAR SURGERY EXPERIENCE

Indonesian Journal of Urology ◽

10.32421/juri.v28i1.677 ◽

2021 ◽

Vol 28 (1) ◽

pp. 66-73

Author(s):

Ardito Ario Willy Goller ◽

Arley Sadra Telussa

Keyword(s):

Kidney Stones ◽

Standard Care ◽

Open Surgery ◽

Ureteral Stone ◽

Blood Clot ◽

Descriptive Study ◽

First Year ◽

Turp Syndrome ◽

Clot Evacuation ◽

Basic Standard

Objective: In present days, endourology is the hallmark of urology, including in developing countries. This study reviews the surgical experiences of a urology practitioner in the first year of his practice in the underdeveloped province in Indonesia. Material & Methods: This research is a descriptive study that retrieval patients data from the medical record during June 2018 - May 2019. Results: Total of 401 operations were obtained. There were 328 male (81.8%) and 73 female (18.2%) with the average of patients age were 52+17.77 years old. The most common diagnoses were BPH 113 cases (28.2%). bladder stone 83 cases (20.7%), and ureteral stone 52 cases (13%). The most common surgical procedures performed were TURP 120 operations (29.9%), Ureterorenoscopy (URS) 64 operations (16%), and Vesicolithotripsy 58 operations (14.5%). The upper tract procedures were 84 operations (20.9%), mainly URS 64 operations (16%). Whereas the lower procedures were 317 operations (79.1%) mainly TURP 120 operations (29.9%). The complications were bleeding post-TURP 5 cases which require blood clot evacuation (1.2%), bleeding post open nephrolithotomy 1 case which requires blood transfusion (0.2%), and TURP syndrome 1 case (0.2%) with mortality 2 patient (0.4%). All kidney stones were handled by open surgery due to lack of PCNL and ESWL set devices. Conclusion: First year urologist who are interested in serving in such areas may benefit from prioritizing the availability of upper and lower set to performed basic standard care for surgical urology without leaving the hallmark of urology.

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Severe form of transurethral resection of the prostate syndrome: Case report (TURP syndrome)

Serbian Journal of Anesthesia and Intensive Therapy ◽

10.5937/sjait1702057r ◽

2017 ◽

Vol 39 (1-2) ◽

pp. 55-60

Author(s):

Rondovic Goran ◽

Uros Petrovic

Keyword(s):

Case Report ◽

Transurethral Resection ◽

Severe Form ◽

Turp Syndrome

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Extremely rapid development of transurethral resection of the prostate syndrome

Vojnosanitetski pregled ◽

10.2298/vsp0807569l ◽

2008 ◽

Vol 65 (7) ◽

pp. 569-571

Author(s):

Nebojsa Ladjevic ◽

Ivana Likic-Ladjevic ◽

Otas Durutovic ◽

Djordje Nale ◽

Zoran Dzamic

Keyword(s):

Transurethral Resection ◽

Patient Monitoring ◽

Rapid Development ◽

Prostatic Hyperplasia ◽

Intravascular Volume ◽

Adequate Therapy ◽

Fast Recognition ◽

Turp Syndrome ◽

Fast Development ◽

Acute Changes

Background. The transurethral resection of the prostate (TURP) syndrome is reported after ureteroscopic procedures with irrigating solutions. TURP syndrome may occur quickly or up to 24 hours postoperatively. TURP syndrome affects many systems and manifests itself mainly through acute changes in intravascular volume and plasma solute concentrations. Case report. We reported a 72- year-old patient with benign prostatic hyperplasia, diabetes mellitus and angina pectoris who underwent TURP under spinal anesthesia. Unusual marked somnolence, bradycardia (38 beats/min), disorientation and face edema indicated a diagnosis of TURP syndrome only 15 minutes after the operation had started. The diagnosis confirmed by arterial gas analyses (metabolic acidosis, pH was 7.29) and hyponatremia (96 mmol/l). Aggressive and adequate therapy with diuretic and bicarbonates decreased symptoms and saved patient's life. Conclusion. Very fast development of TURP syndrome is possible. Continuous patient monitoring is necessary to provide fast recognition of TURP syndrome. Adequate therapy can prevent considerable complications.

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