Korean J Nephrol.  2011 Jul;30(4):414-418.

Transurethral Rescetion Syndrome after Transurethral Resection of Bladder Tumor in 2 Patients on Maintenance Hemodialysis

• Jeong EH
• Kim EN
• Wang HB
• Kim TH
• Park JS
• Kim TH
• Kim JO
• Suh SY
• Seong WS

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.

Keyword

Chronic renal failure; Renal dialysis; Urinary bladder neoplasm; Transurethral resection of prostate (Mesh heading)

MeSH Terms

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