Skip to main content
Log in

“TUR syndrome” after transurethral resection of the prostate using suprapubic drainage

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

In a retrospective study of 522 consecutive patients who were subjected to transurethral resection of the prostate with suprapubic trocar technique, six patients were suspected of having transurethral prostatic resection syndrome. The majority of the transurethral resections were performed by surgical or urological trainees.

Only two patients fulfilled the criterion for TUR syndrome caused by absorption of irrigating fluid and defined as an electrolyte dilution corresponding to a plasma sodium level below 120 mmol/l.

In the present paper the symptomatology and treatment of TUR syndrome are outlined with reference to the literature. The trocar technique clearly has minimized the risk of TUR syndrome, which emphasizes the value of the method.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Henderson, D. J., Middleton, R. G.: Coma from hyponatriemia following transurethral resection of the prostate.Urology, 3, 267 (1980).

    Article  Google Scholar 

  2. Hoeckstra, P. T., Kalinovski, R., McCamish, M. A., Bergen, W., Heetderks, D. R.: Transurethral prostatic resection syndrome—a new perspective: Encephalopathy with associated hyperammonemia.J. Urol., 130, 704 (1983).

    Google Scholar 

  3. Hulten, J., Hjertberg, H., Engberg, A., Bengtsson, M., Svedberg, J.: Preventing transurethral resection syndrome. Letter.Lancet I, 1382 (1983).

    Article  Google Scholar 

  4. Iversen, H. G., Hansen, R. I., Christiansen, B.: Transurethral resection of the prostate with a new resectoscope with continuous low-pressure irrigation.Ugeskr. Laeger., 139, 1353 (1977).

    PubMed  CAS  Google Scholar 

  5. Madsen, P. O.: The TUR-syndrome and absorption of irrigating fluids. Thesis. University of Copenhagen, Denmark 1975.

    Google Scholar 

  6. Madsen, P. O., Frimodt-Møller, P. C.: Transurethral prostatic resection with suprapubic trocar technique.J. Urol., 132, 277 (1984).

    PubMed  CAS  Google Scholar 

  7. Madsen, P. O., Madsen, R.: Clinical and experimental evaluation of different irrigating fluids for transurethral surgery.Invest. Urol., 3, 122 (1965).

    PubMed  CAS  Google Scholar 

  8. Madsen, P. O., Naber, K. G.: The importance of the pressure in the prostatic fossa and absorption of irrigating fluid during transurethral resection of the prostate.J. Urol., 109, 446 (1973).

    PubMed  CAS  Google Scholar 

  9. Mebust, W. K., Brady, T. W., Valk, W. L.: Observations on cardiac output, blood volume, central venous pressure, fluid and electrolyte changes in patients undergoing transurethral prostatectomy.J. Urol., 103, 632 (1970).

    PubMed  CAS  Google Scholar 

  10. Mommsen, S., Genster, H. G., Møller, J.: Alterations in serum concentrations of sodium, potassium and extra-erythrocytic haemoglobin during transurethral resection of the prostate.Ugeskr. Laeger., 139, 1346 (1977).

    PubMed  CAS  Google Scholar 

  11. O'Donnell, P.: Serum acid phosphatase elevation associated with transurethral resection syndrome.Urology, 22, 388 (1983).

    Article  PubMed  Google Scholar 

  12. Oester, A., Madsen, P. O.: Determination of absorption of irrigating fluid during transurethral resection of the prostate by means of radioisotopes.Urology, 102, 714 (1969).

    CAS  Google Scholar 

  13. Schroeder, M., Krarup, T.: Transurethral resection of the prostate with a suprapubic trocar.Ugeskr. Laeger., 144, 3013 (1982).

    Google Scholar 

  14. Sellevold, O., Breivik, H., Tveter, K.: Changes in osmotic pressure osmolality and electrolytes following transurethral resection of the prostate using glycine as irrigating solution.Scand. J. Urol. Nephrol., 17, 31 (1983).

    Article  PubMed  CAS  Google Scholar 

  15. Sunderrajan, S., Bauer, J. H., Vopat, R. L., Wanner-Barienbruch, P., Hayes, A.: Post-transurethral prostatic resection hyponatriemic syndrome. Case report and review of the literature.Am. Kidney Dis., 4, 80 (1984).

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Weis, N., Jørgensen, P.E. & Bruun, E. “TUR syndrome” after transurethral resection of the prostate using suprapubic drainage. International Urology and Nephrology 19, 165–169 (1987). https://doi.org/10.1007/BF02550468

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02550468

Keywords

Navigation