Transurethral resection of the prostate (TURP) remains the gold standard treatment for benign prostatic hyperplasia. It is a less invasive approach than traditional suprapubic or retropubic open prostatectomy. However due to the significant complication associated with the procedure, including TURP syndrome, other techniques have been developed that resulted in the steady decline of its use. TURP can be performed utilizing either general or spinal anesthesia with advantages and disadvantages related to both anesthetic methods. Anesthetic concerns and complications during the preoperative, intraoperative, and postoperative phases are discussed. Early detection and prevention remains the most important factors in reducing complications and shortening the recovery period.
KeywordsTURP syndrome Prostatic hyperplasia Transurethral resection of prostate Urinary tract Water intoxication
- 1.Azar I. Transurethral resection of prostate. In: Malhotra V, editor. Anesthesia for renal and genitourinary surgery. New York: McGraw-Hill; 1996. p. 93–109.Google Scholar
- 5.Miller RD. Miller’s anesthesia. 7th ed. Philadelphia, PA: Churchill Livingstone/Elsevier; 2010.Google Scholar
- 6.Barash PG, Cullen BF, Stoelting RK, et al. Clinical anesthesia. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2009.Google Scholar
- 10.Fujiwara A, Nakahira J, Sawai T, Inamoto T, Minami T. Prediction of clinical manifestations of transurethral resection syndrome by preoperative ultrasonographic estimation of prostate weight. Bio Med Central Urol. 2014;16(14):67.Google Scholar