Korean J Anesthesiol.  1995 Jan;28(1):171-174. 10.4097/kjae.1995.28.1.171.

Transurethral prostatectomy syndrome

• Jeoun YS
• Chung DS

• KMID: 2090902
• DOI: http://doi.org/10.4097/kjae.1995.28.1.171

Abstract

A 70-year-old male was performed TURP (Transurethral resection of the prostate) under the diagnosis of benign prostate hyperplasia. Under general anesthesia, two times of TURP and suprapubic prostatectomy were performed for bleeding control during 8 hours. At the end of the operation, hypotension with bradycardia, severe ST elevation, QRS widening, T wave inversion and ventricular tachycardia on EKG appeared. Under the assumption of the diagnosis of hyponatremia, we treated with NaHCO3 and lasix, but cardiac arrest was followed by cardiopulmonary resuscitation. During postoperative five days, patient's cardiopulmonary status was supported by cardiotonic drugs and mechanical ventilation. We report this case to recall TURP syndrome and its management with the review of the relevant literatures.

Keyword

TURP syndrome; dilutional hyponatremia; water intoxication

MeSH Terms

Aged
Anesthesia, General
Bradycardia
Cardiopulmonary Resuscitation
Cardiotonic Agents
Diagnosis
Electrocardiography
Furosemide
Heart Arrest
Hemorrhage
Humans
Hyperplasia
Hyponatremia
Hypotension
Male
Prostate
Prostatectomy
Respiration, Artificial
Tachycardia, Ventricular
Transurethral Resection of Prostate*
Water Intoxication
Cardiotonic Agents
Furosemide