title: Urethral injury during potassium-titanyl-phosphate laser prostatectomy complicated by transurethral resection syndrome.
abstract: The green light potassium-titanyl-phosphate laser photoselective vaporization of the prostate is the latest modality for treatment of benign prostatic obstruction. Because of effective superficial tissue coagulation, intravascular absorption of fluid is minimal; therefore, development of transurethral resection syndrome is unlikely. To our knowledge, this is the first report of a patient undergoing photoselective vaporization of the prostate who developed full-blown transurethral resection syndrome because of intravascular absorption of sterile water. Absorption of hypotonic irrigant presumably occurred through the injury induced during insertion of the laser cystoscope.
authors.affiliation: Department of Anesthesiology, College of Medicine, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.
authors.forename: John A
authors.initials: JA
authors.lastname: Dilger
authors.forename: Michael T
authors.initials: MT
authors.lastname: Walsh
authors.forename: Mary E
authors.initials: ME
authors.lastname: Warner
authors.forename: Lance A
authors.initials: LA
authors.lastname: Mynderse
authors.forename: Juraj
authors.initials: J
authors.lastname: Sprung
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D000368:Aged; D000743:Anemia, Hemolytic / Q000209:etiology*; D006801:Humans; D007431:Intraoperative Complications; D053844:Lasers, Solid-State / Q000009:adverse effects*; D008297:Male; D011470:Prostatic Hyperplasia / Q000601:surgery; D013577:Syndrome; D007507:Therapeutic Irrigation / Q000009:adverse effects; D020728:Transurethral Resection of Prostate / Q000009:adverse effects*; D014521:Urethra / Q000293:injuries*; D014869:Water Intoxication / Q000209:etiology*