Urethral injury during potassium-titanyl-phosphate laser prostatectomy complicated by transurethral resection syndrome.
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.
Dilger
John A
JA
Department of Anesthesiology, College of Medicine, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.
Walsh
Michael T
MT
Warner
Mary E
ME
Mynderse
Lance A
LA
Sprung
Juraj
J
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*