Transurethral Rescetion Syndrome after Transurethral Resection of Bladder Tumor in 2 Patients on Maintenance Hemodialysis.
- Author:
Eun Ho JEONG
1
;
Eun Na KIM
;
Hee Bae WANG
;
Tae Ho KIM
;
Jeong Suk PARK
;
Tae Hyung KIM
;
Jin Ou KIM
;
Sang Yeol SUH
;
Won Sub SEONG
Author Information
1. Department of Internal Medicine, Seoul Red Cross Hospital, Seoul Korea. yannminz@hanmail.net
- Publication Type:Case Report
- Keywords:
Chronic renal failure;
Renal dialysis;
Urinary bladder neoplasm;
Transurethral resection of prostate (Mesh heading)
- MeSH:
Absorption;
Anuria;
Arrhythmias, Cardiac;
Arthroscopy;
Blindness;
Bradycardia;
Coma;
Cystoscopy;
Drinking;
Humans;
Hypertension;
Hyponatremia;
Hypotension;
Hysteroscopy;
Kidney Failure, Chronic;
Renal Dialysis;
Seizures;
Transurethral Resection of Prostate;
Urinary Bladder;
Urinary Bladder Neoplasms
- From:Korean Journal of Nephrology
2011;30(4):414-418
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transurethral resection syndrome (TURS) is one of the complications of endoscopic transurethral operation with irrigation fluid. TURS comprehensively refer to several clinical symptoms and signs caused by intravascular absorbtion of irrigation fluid, hypertension, bradycardia, arrhythmia, respiratory distress, hypotension, confusion, blindness, seizure, coma, hyponatremia, and hypoosmolarity. TURS is mainly known as the complication of the transurethral resection of prostate (TURP), and rarely found in the procedures such as transurethral resection of bladder tumor (TUR-BT), hysteroscopy, cystoscopy, and arthroscopy. Only a few cases of TURS after TUR-BT have been reported. The patients on maintenance hemodialysis were restricted in the amount of water intake for volume control. They were susceptible to the absorption of irrigation fluid during TUR-BT since they had anuria. We hereby report the 2 cases maintenance hemodialysis patients who were led to TURS after TUR-BT.
