title: Transurethral prostatic resection syndrome--a new perspective: encephalopathy with associated hyperammonemia.
abstract: Encephalopathy developed in 3 patients after transurethral prostatic resection. Each patient had blood ammonia levels more than 10 times the upper limit of normal. Data supportive of a metabolic cause for encephalopathy subsequently were obtained in a prospective study of patients undergoing transurethral prostatic resection with glycine irrigation. It is suggested that a distinct subpopulation of patients experiencing transurethral prostatic resection syndrome can be identified. These patients exhibit encephalopathic symptoms and have concurrent marked elevation of blood ammonia levels.
mesh_terms: D000368:Aged; D000641:Ammonia / Q000097:blood*; D003128:Coma / Q000097:blood / Q000209:etiology*; D005998:Glycine / Q000097:blood; D006801:Humans; D008297:Male; D008722:Methods; D011183:Postoperative Complications; D011467:Prostate / Q000601:surgery*; D013577:Syndrome
chemical_list: D000641:Ammonia; D005998:Glycine