title: Measurement of Procedure-Specific Irrigation-Fluid Absorption in Transurethral Therapy of Lower Urinary Tract Syndrome, Using Ethanolic Saline and Breath Alcometry.
abstract: BACKGROUND
  Transurethral resection risks excessive absorption of irrigating fluid with potentially severe or life-threatening consequences. We determined the amount of absorbed saline irrigation fluid during photoselective vaporisation of the prostate (PVP) and bipolar transurethral resection of the prostate (bTURP).
  
  
  METHODS
  Patients at our institution treated by one of these methods were monitored by the alcometric method: ethanol is added to the irrigation fluid and blood alcohol is measured with a breathalyser. Various possible correlations were investigated.
  
  
  RESULTS
  Data from 71 patients (36 PVP, 35 bTURP) were analysed. Detection of any absorption was more frequent under bTURP (71% of patients) than under PVP (39%; p = 0.006). Absorption in the volume range 500-1,000 ml was conspicuously more frequent in the bTURP procedure than in PVP.
  
  
  CONCLUSIONS
  Presence of absorption was more frequent under bTURP than under PVP. However, high-volume absorption was more frequent during bTURP than in PVP.
authors.affiliation: Klinik für Urologie und Kinderurologie, Medizinische Fakultät der Otto-von-Guericke-Universität Magdeburg, Magdeburg, Germany.
authors.forename: Markus
authors.initials: M
authors.lastname: Porsch
authors.forename: Paul
authors.initials: P
authors.lastname: Mittelstädt
authors.forename: Johann Jakob
authors.initials: JJ
authors.lastname: Wendler
authors.forename: Daniel
authors.initials: D
authors.lastname: Baumunk
authors.forename: Kirsten
authors.initials: K
authors.lastname: Fichtler
authors.forename: Andreas
authors.initials: A
authors.lastname: Janitzky
authors.forename: Anke
authors.initials: A
authors.lastname: Lux
authors.forename: Uwe-Bernd
authors.initials: UB
authors.lastname: Liehr
authors.forename: Martin
authors.initials: M
authors.lastname: Schostak
mesh_terms: D065567:Absorption, Physiological; D000368:Aged; D001944:Breath Tests; D000431:Ethanol / Q000493:pharmacokinetics*; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000378:metabolism* / Q000601:surgery*; D008297:Male; D011446:Prospective Studies; D011470:Prostatic Hyperplasia / Q000150:complications / Q000378:metabolism* / Q000601:surgery*; D012965:Sodium Chloride / Q000493:pharmacokinetics*; D007507:Therapeutic Irrigation; D020728:Transurethral Resection of Prostate / Q000379:methods*
chemical_list: D000431:Ethanol; D012965:Sodium Chloride