Sterile water as an irrigating fluid for transurethral resection of the prostate: anesthetical view of the records of 1600 cases.
OBJECTIVE
Absorption of the fluid used for bladder irrigation during transurethral resection of prostate (TURP) may disturb the circulatory system and lead to clinical symptoms known as the transurethral resection syndrome. The purpose of this study was to evaluate the changes in electrolytes in patients who had undergone TURP.


METHODS
For all the cases with benign prostatic hypertrophy enrolled in the present study, TURP was performed as recommended in Miller's Anesthesia, the sixth edition. Sterile water was used as an irrigating fluid for bladder washing. Laboratory tests were performed before and immediately after the surgery.


RESULTS
No statistically significant changes were reported in the serum sodium, blood urea nitrogen, creatinine, and hematocrit. The most common complications were hypotension (8.3%), hypertension (7.8%), nausea (6.4%), and vomiting (2.8%). Hyponatremia, decreased hematocrit, and increased blood urea nitrogen/creatinine were rarely reported (2.5, 1.0, and 0.9%, respectively).


CONCLUSIONS
Sterile water has been shown to be a safe irrigating fluid for TURP.
Moharari
Reza Shariat
RS
Department of Anesthesiology, Sina Hospital, Medical Sciences/University of Tehran, Tehran, Iran. moharari@sina.tums.ac.ir
Khajavi
Mohammad Reza
MR
Khademhosseini
Peyman
P
Hosseini
Seyed Reza
SR
Najafi
Atabak
A
D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011470:Prostatic Hyperplasia / Q000601:surgery*; D007507:Therapeutic Irrigation / Q000379:methods*; D020728:Transurethral Resection of Prostate; D016896:Treatment Outcome; D014867:Water / Q000008:administration & dosage*; D014882:Water-Electrolyte Balance
D014867:Water