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What is post TURP syndrome?

Last Updated: 5th February, 2020

Urology. Transurethral Resection of the Prostate (TURP) Syndrome is a rare but potentially life-threatening complication of a transurethral resection of the prostate procedure. It occurs as a consequence of the absorption of the fluids used to irrigate the bladder during the operation into the prostatic venous sinuses.

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Just so, how is TURP syndrome treated?

TURP syndrome: Treatment

  1. Fluid restriction.
  2. Loop diuretics.
  3. Hypertonic saline no faster than 100cc/hr for symptomatic hyponatremia.
  4. Midazolam or phenytoin for seizure activity.
  5. Intubation for airway protection.

One may also ask, what to expect after a TURP? For several days after surgery, you may feel burning when you urinate. Your urine may be pink for 1 to 3 weeks after surgery. You also may have bladder cramps, or spasms. Your doctor may give you medicine to help control the spasms.

People also ask, why does TURP cause hyponatremia?

The symptoms of TURP are generally caused by an excessive fluid load in circulation. Excessive absorption of the irrigation solutions used during TURP, which are highly hypotonic can cause dilutional hyponatremia and hypo-osmolality resulting in severe neurological symptoms.

How long does it take to recover from a TURP?

3 and 6 weeks

Related Question Answers

Perry Herppich


Why normal saline is not used in TURP?

Electrolyte solutions such as normal saline or Ringer Lactate do least harm when absorbed into the circulation. However they cause dispersion of high frequency current from the resectoscope and hence abandoned. A variety of other irrigating fluids have been in use, each having its own merits and demerits.

Randee Casinos


Which are the signs symptoms of transurethral resection TUR syndrome?

Symptoms and signs
  • Restlessness.
  • Headache.
  • Nausea and vomiting.
  • Confusion.
  • Visual disturbances.
  • Cerebral edema.
  • Convulsions.
  • Coma.

Nasser Bordea


Why is glycine used in TURP?

Glycine solution as an irrigating agent during transurethral prostatic resection. The observed plasma glycine increase after TURP correlated well with fall in serum sodium and rise in serum PAP, with the blood loss during and up to 15 min after TURP, and also with the weight of the resected tissue.

Joar Beyschwang


Does TURP surgery cause impotence?

It is known that a proportion of patients who undergo transurethral resection of the prostate (TURP) will develop erectile dysfunction (ED). Without taking note of the risk factors, TURP is a safe procedure with regard to sexual function.

Hodaifa Kalinich


What's a TURP in prostate cancer?

Transurethral resection of the prostate (TURP) is an operation to remove the parts of the prostate gland that are pressing on the urethra.

Bailo Perela


Raimundas Winklmann


What type of anesthesia is used for a TURP?

Anaesthesia for transurethral resection of the prostate. Spinal anaesthesia is considered to be the technique of choice for TURP. TURP syndrome comprises the effects produced by rapid changes in osmolality and circulating volume, together with the effects of glycine, caused by the absorption of glycine 1.5%.

Cheree Weishaupt


Why is glycine used in urology?

1.5% Glycine Irrigation, USP is useful as an irrigating solution for the urinary bladder because this solution is nonhemolytic, nonelectrolytic or very weakly ionized, and provides a high degree of visibility for urologic procedures requiring endoscopy.

Teri Jamaletdinov


What are the side effects of TURP surgery?

Risks of TURP can include:
  • Temporary difficulty urinating. You might have trouble urinating for a few days after the procedure.
  • Urinary tract infection.
  • Dry orgasm.
  • Erectile dysfunction.
  • Heavy bleeding.
  • Difficulty holding urine.
  • Low sodium in the blood.
  • Need for retreatment.

Gerasimo Modest


What are the complications of TURP?

What are the risks of a TURP?
  • Bladder injury.
  • Bleeding.
  • Blood in the urine after surgery.
  • Electrolyte abnormalities.
  • Infection.
  • Loss of erections.
  • Painful or difficult urination.
  • Retrograde ejaculation (when ejaculate goes into the bladder and not out the penis)

Speranta Fromberg


Is TURP a major surgery?

The most common surgery for BPH is called transurethral resection of the prostate or TURP. During the procedure, surgeons remove the excess prostate tissue through the urethra. A doctor who specializes in the urinary tract does most TURP surgeries. TURP is considered a fairly safe, effective procedure for treating BPH.

Eduina Yarnall


What can I expect after TURP prostate surgery?

Your Recovery
Transurethral resection of the prostate (TURP) is surgery to remove prostate tissue. For several days after surgery, you may feel burning when you urinate. Your urine may be pink for 1 to 3 weeks after surgery. You also may have bladder cramps, or spasms.

Xiaorong Landucci


How long does it take for bleeding to stop after TURP?

Call if you do not see any improvement at all over the first few weeks. Blood in the urine: some blood, clot and debris is normal for up to about 6 weeks after surgery. The bleeding may appear heavy, but the blood loss is usually very small as most of what you are seeing is urine.

Inasse Peñacoba


What is a bipolar TURP?

Button TURP, also called bipolar cautery vaporization, is a newer, less invasive variation of the procedure. Instead of a wire loop on the end of the scope, the surgeon uses a device with a small, button-shaped tip to vaporize prostate tissue.

Maryanna Avtsin


What is Dilutional hyponatremia?

Dilutional hyponatremia, also known as water intoxication, it is a potentially life-threatening condition which occurs when a person consumes too much water without an adequate intake of electrolytes.

Yarisa Poças


Is glycine toxic?

Glycine is an inhibitory neurotransmitter and if large amounts are absorbed the patient can develop central nervous system toxicity, which includes transient blindness and encephalopathy. Ammonia toxicity can also result because ammonia is a byproduct of glycine metabolism.

Rafik Resa


Can BPH cause hyponatremia?

Syndrome of inappropriate antidiuretic hormone secretion (SIADH) and diuretic therapy are the common causes in the elderly. However, acute urinary retention due to benign prostatic hyperplasia (BPH) resulting in hyponatremia is a rare scenario.

Dosinda Artabe


How much water should I drink after TURP surgery?

Around 10 – 14 days after the operation the scab which has formed over the prostate will fall away and you will pass this in your urine. Do not worry. Make sure that you drink plenty of water. You should aim to drink two to two and a half litres of water on that day.

Temeka Bidaurrazaga


How successful is TURP?

How effective is TURP and what consequences can it have? Studies have shown that TURP can permanently reduce prostate-related problems. Nine months after having TURP, about 75 out of 100 men only have mild symptoms.