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.
Dorotta
Ihab
I
Departments of Anesthesiology, *Cleveland Clinic Foundation, Cleveland, Ohio; and †Mayo Clinic, Rochester, Minnesota.
Basali
Ayman
A
Ritchey
Michael
M
O'Hara
Jerome F
JF
Sprung
Juraj
J
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