Korean J Anesthesiol.  2007 Aug;53(2):254-258. 10.4097/kjae.2007.53.2.254.

Transurethral Resection Syndrome Occurred by Bladder Perforation during Transurethral Resection: A case report

• Song JG
• Kim YK
• Kim YU
• Seo HS
• Kang KN
• Hwang GS
• Hwang JH

• KMID: 2243386
• DOI: http://doi.org/10.4097/kjae.2007.53.2.254

Abstract

A transurethral resection of the prostate (TURP) is often performed to treat benign prostatic hypertrophy or prostatic carcinoma. Transurethral resection syndrome (TURS) is a rare but serious complication of TURP that has two different causes: (1) intravascular absorption of the irrigation fluid through the open prostatic venous sinus (TURP syndrome); and (2) intraperitoneal extravasation of the irrigation fluid through perforation of the bladder. In general, a laparotomy, repair of injury, or conservative approach such as bladder drainage, percutaneous drainage of the abdomen combined with medical treatment are performed to manage TURS attributed to the latter mechanism. We report a patient with TURS, who showed a gradual onset of hyponatremia after bladder perforation and intraperitoneal extravasation of the irrigation fluid, and was treated successfully using a conservative approach.

Keyword

bladder perforation; hyponatremia; transurethral resection of prostate; transurethral resection syndrome

MeSH Terms

Abdomen
Absorption
Drainage
Humans
Hyponatremia
Laparotomy
Prostate
Prostatic Hyperplasia
Transurethral Resection of Prostate
Urinary Bladder*