3-5) The remarkable risk of mortality and morbidity of both procedures, especially TURP syndrome and bleeding, has prompted the search for minimally invasive laser-based techniques.
A safety study with the GL-XPS laser showed no serious interoperative complications, such as transfusion, TURP syndrome, and bleeding.
TURP syndrome is described, as well as steps taken to request industry to alter the packaging.
At the end of the procedure TURP syndrome was suspected when the patient became confused, bradycardic and hypotensive.
Of interest is the fact that severe hyponatraemia and fluid overload were notably absent--features that distinguish this from mannitol-induced TURP syndrome.
TURP syndrome is a major life-threatening complication of prostate surgery, caused by the intraoperative absorption of irrigant fluid from the prostatic bed.
Clinically the typical isotonic mannitol-induced TURP syndrome presents with neurological disturbances (92%) and/ or cardiovascular instability (54%).
The reported incidence of clinically detectable TURP syndrome is 2% (1).
We have recently experienced two cases of clinically significant TURP syndrome, which demonstrate the advantages of this technique.
By paying close attention to these factors and trying to prevent them, one should be able to minimize the incidence of TURP syndrome.
We were able to diagnose the TURP syndrome early, as both patients were awake and receiving spinal anaesthesia.
8] In this study, Al-Ansari and colleagues found that improvement in maximum flow rate, IPSS and PVR were comparable in both the PVP and TURP cohorts; however, perioperative complications, such as the need for transfusion, TURP syndrome
and capsule perforation, were more common in those treated with TURP.