Benign prostatic hyperplasia patients who underwent TUR of prostate and died of other than TUR syndrome
However, the most serious forms of the TUR syndrome
have a mortality rate that has been quoted as high as 25% 12,13.
Bipolar TURP (B-TURP) allows for treatment in normal saline irrigation, preventing TUR syndrome
1,2 However, several complications such as bleeding, TUR syndrome
, incontinence, urethral stricture and impotence can occur.
Bleeding necessitating transfusion (2-5%), TUR syndrome
(2%), bladder-neck contracture (4%), urethral stricture (3.
None experienced hyponatremia or TUR syndrome
, even though 7 of 32 procedures (22%) required more than 120 minutes of operative time.
Saline solution is physiologically compatible and reduces the likelihood of TUR syndrome
during TURP, and bipolar operation reduces obturator nerve stimulation during bladder tumor resection procedures.
The principal advantage is the possible use of isotonic irrigating fluid, such as normal saline or lactate ringer which eliminates the risk of electrolytic disturbance from systemic uptake such as TUR syndrome
There are some disadvantages and complications of monopolar TURP, such as bleeding, TUR syndrome
, longer learning curve and prolonged catheterization.
For urology patients, the risk of TUR syndrome
In AUA cooperative study (Mebust et al 1989), TUR syndrome
occurred in 2% of patient's TUR syndrome
is an alteration in homeostasis produced by extravasation due to the perforation of capsule and intravasation due to the sucking in of irrigation fluid in the venous sinuses.
21] have demonstrated a lower perioperative complication rate, negligible risk of TUR syndrome
in small-to-medium sized glands and comparable functional results in comparison to monopolar.