Transurethral Resection Syndrome Occurred by Bladder Perforation during Transurethral Resection: A case report.
10.4097/kjae.2007.53.2.254
- Author:
Jun Gol SONG
1
;
Young Kug KIM
;
Young Uk KIM
;
Hyung Seok SEO
;
Kum Nae KANG
;
Gyu Sam HWANG
;
Jai Hyun HWANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. kyk@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
bladder perforation;
hyponatremia;
transurethral resection of prostate;
transurethral resection syndrome
- MeSH:
Abdomen;
Absorption;
Drainage;
Humans;
Hyponatremia;
Laparotomy;
Prostate;
Prostatic Hyperplasia;
Transurethral Resection of Prostate;
Urinary Bladder*
- From:Korean Journal of Anesthesiology
2007;53(2):254-258
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A transurethral resection of the prostate (TURP) is often performed to treat benign prostatic hypertrophy or prostatic carcinoma. Transurethral resection syndrome (TURS) is a rare but serious complication of TURP that has two different causes: (1) intravascular absorption of the irrigation fluid through the open prostatic venous sinus (TURP syndrome); and (2) intraperitoneal extravasation of the irrigation fluid through perforation of the bladder. In general, a laparotomy, repair of injury, or conservative approach such as bladder drainage, percutaneous drainage of the abdomen combined with medical treatment are performed to manage TURS attributed to the latter mechanism. We report a patient with TURS, who showed a gradual onset of hyponatremia after bladder perforation and intraperitoneal extravasation of the irrigation fluid, and was treated successfully using a conservative approach.
