TURP Syndrome – A Quick Review and Update
Keywords:
TURP syndrome, constant vigilance, prevention, early diagnosis, treatmentAbstract
Transurethral resection of prostate syndrome (TURP-S) is one of the commonest and dreaded complications of urological
endoscopic surgery. It is characterized by cardiocirculatory and neurological changes consequent to acute changes in
intravascular volume and plasma solute concentrations occurring as a result of excess absorption of irrigating fluid. Even in
best of hands, incidence of TURP-S is up to 20% and carries a significant mortality rate - 0.5-5% die perioperatively. It may
occur at any time perioperatively and has been observed as early as few minutes after surgery has started and as late as several
hours after surgery have been completed. Symptoms and signs are varied and unpredictable, and result from fluid overload
and disturbed electrolyte balance and hyponatremia. Treatment is largely supportive and relies on removal of the underlying
cause, and organ and physiological support. Preoperative prevention strategies are extremely important.
Downloads
Published
Issue
Section
License
All open access articles published in IJCP are distributed under the terms of the CC BY-NC 4.0 license (Creative Commons Attribution-Non-Commercial 4.0 International Public License). This license permits unrestricted use, distribution, and reproduction of the articles in any medium for non-commercial purposes, provided that: The original authorship is properly and fully attributed. The IJCP is cited as the original place of publication with correct citation details. If an original work is reproduced or disseminated in part or as a derivative work, this must be clearly indicated. No articles are reproduced for commercial use without prior consent from the IJCP. All licensing requests and permissions for commercial use will be managed by the Publisher.
