Al-Hajjaj Maher, Kanjo Muhamad, Tallaa Mohamed
Department of Urology, Aleppo University Hospital, Aleppo, Syria.
Department of Internal Medicine, Aleppo University Hospital, Aleppo, Syria.
Int J Surg Case Rep. 2022 Apr;93:107021. doi: 10.1016/j.ijscr.2022.107021. Epub 2022 Apr 4.
Transurethral resection of prostate (TURP) is a rare but extremely dangerous condition. Although this complication is well described previously, we still see it those days.
We report a case of 66-year-old male patient presented with symptoms of enlarged prostate. Ultrasound showed the prostate weight was 90 g. He was scheduled for transurethral resection of prostate. The procedure took 65 min with the use of monopolar device. One hour after operation, he had confusion, bradycardia, and elevated blood pressure. Laboratories showed hyponatremia and hyperkalemia. We infused the patient with saline 3% solution after the diagnosis of TURP syndrome. On next day, he gained his full recovery and we discharged him.
Our patient suffered from TURP syndrome. Laboratory evaluation of blood electrolytes led to confirm the diagnosis. We immediately infused hypertonic saline intravenously. We monitored the patient clinically and with serial assessments of blood electrolytes.
TURP syndrome is considered a serious complication in urology surgery. Urologists should suspect this complication in prolonged TURP surgery. Early diagnosis is crucial to save patient's life.
经尿道前列腺切除术（TURP）是一种罕见但极其危险的情况。尽管此前对这种并发症已有详尽描述，但如今我们仍能见到。
我们报告一例66岁男性患者，表现为前列腺增生症状。超声显示前列腺重量为90克。他被安排进行经尿道前列腺切除术。手术使用单极设备，耗时65分钟。术后1小时，他出现意识模糊、心动过缓和血压升高。实验室检查显示低钠血症和高钾血症。诊断为TURP综合征后，我们给患者输注了3%的盐水溶液。第二天，他完全康复并出院。
我们的患者患有TURP综合征。血液电解质的实验室评估有助于确诊。我们立即静脉输注高渗盐水。我们对患者进行临床监测并连续评估血液电解质。
TURP综合征被认为是泌尿外科手术中的一种严重并发症。泌尿外科医生在长时间的TURP手术中应怀疑这种并发症。早期诊断对挽救患者生命至关重要。
