Transurethral resection syndrome after bladder perforation.
The use of irrigating solutions is essential for distension of mucosal surfaces and visualization of the surgical field during resectoscopic resection of bladder tumors (TURBT). TURBT resection may be complicated with bladder perforation associated with intraperitoneal extravasation of irrigant fluid, which may rarely evolve in specific hydroelectrolyte imbalance characterized with hyponatremia, intravascular volume deficit, and renal impairment. We report four cases of TURBT syndrome during bladder surgery complicated by bladder perforation and discuss issues relevant to pathophysiology, diagnosis, and treatment of this rare condition.
Departments of Anesthesiology, *Cleveland Clinic Foundation, Cleveland, Ohio; and †Mayo Clinic, Rochester, Minnesota.
Ihab
I
Dorotta
Ayman
A
Basali
Michael
M
Ritchey
Jerome F
JF
O'Hara
Juraj
J
Sprung
D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis* / Q000628:therapy; D012964:Sodium / Q000097:blood; D007507:Therapeutic Irrigation / Q000009:adverse effects*; D001743:Urinary Bladder / Q000293:injuries*; D013520:Urologic Surgical Procedures / Q000009:adverse effects*
D012964:Sodium