Summary
The serum concentration of glycine was measured at hourly intervals after administration of between 10 and 91 g glycine to 17 patients undergoing transurethral resection of the prostate and of between 15 and 22 g glycine to 18 volunteers by intravenous infusion. The apparent half-life of glycine varied 10-fold (range 26–245 min) and increased in direct proportion to the amount of glycine given. This result can be explained by assuming a marked intracellular accumulation of a surplus of glycine. The dose-dependent half-life means that patients who absorb large amounts of irrigating fluid are exposed to excessive blood levels of glycine for a prolonged period of time.
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Hahn RG (1988) Serum amino acid patterns and toxicity symptoms following the absorption of irrigant containing glycine in transurethral prostatic surgery. Acta Anaesthesiol Scand 32:493
Hahn RG (1991) The transurethral resection syndrome. Acta Anaesthesiol Scand 35:557
Hahn RG (1992) Amino acid concentrations in serum and urine after intravenous infusion of 1.5% glycine in prostatectomy patients. Prostate 21:173
Hahn RG, Berlin T, Lewenhaupt A (1988) Irrigating fluid absorption and blood loss during transurethral resection of the prostate studied by a regular interval monitoring (RIM) method. Scand J Urol Nephrol 22:23
Hahn R, Hjelmqvist H, Rundgren M (1989) Effects of isosmotic and hyperosmotic glycine solutions on the fluid balance in conscious sheep. Prostate 15:71
Hahn RG, Stalberg HP, Gustafsson SA (1989) Intravenous infusion of irrigating fluids containing glycine or mannitol with and without ethanol. J Urol 142:1102
Hahn R, Essén P, Wernerman J (1992) Amino acid concentrations in plasma and skeletal muscle after transurethral resection syndrome. Scand J Urol Nephrol 26:235
Hoekstra PT, Kahnoski R, McCamish MA, Bergen W, Heetderks DR (1983) Transurethral prostatic resection syndrome—a new perspective: encephalopathy with associated hyperammonaemia. J Urol 130:704
Hull CJ (1991) Pharmacokinetics for anaesthesia. Butterworth-Heinemann, Oxford, pp 1–51
Mizutani AR, Parker J, Katz J, Schmidt J (1990) Visual disturbances, serum glycine levels and transurethral resection of the prostate. J Urol 144:697
Norlén H, Allgén L-G, Vinnars E, Bedrelidou-Classon G (1986) Glycine solution as an irrigating agent during transurethral prostatic resection. Scand J Urol Nephrol 20:19
Ryder KW, Olson JF, Kahnoski R, Karn RC, Oei TO (1984) Hyperammonaemia after transurethral resection of the prostate: a report of 2 cases. J Urol 132:995
Stalberg HP, Hahn RG, Hjelmqvist H, Ullman J, Rundgren M (1993) Heamodynamics and fluid balance after intravenous infusion of 1.5% glycine in the sheep. Acta Anaesthesiol Scand 37:282
Wang JM-L, Creel DJ, Wong KC (1989) Transurethral resection of the prostate, serum glycine levels, and ocular evoked potentials. Anesthesiology 70:36
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Hahn, R.G. Dose-dependent half-life of glycine. Urol. Res. 21, 289–291 (1993). https://doi.org/10.1007/BF00307714
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DOI: https://doi.org/10.1007/BF00307714