How do you treat TURP syndrome?

How do you treat TURP syndrome?

TURP syndrome treatment can be divided into management of volume changes and management of solute changes (hyponatraemia, hypoosmolality, and direct toxicity of irrigation fluid used). Newer techniques of transurethral prostatic resection promise a reduced risk of TURP syndrome.

Why glycine is used in TURP?

2.2%: Glycine, an endogenous amino acid has been suggested as a suitable irrigating fluid considering its many advantages, including the low cost, though not as cheap as sterile water. Glycine is isotonic with plasma only at a concentration of 2.2%, but the side effects of glycine at this concentration are more.

How does TURP syndrome occur?

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.

How do you prevent TURP syndrome?

THE IDEAL IRRIGATION FLUID

1. transparent (for good visibility)
2. electrically non-conductive (to prevent dispersion of the diathermy current)
3. isotonic.
4. non-toxic.
5. non-haemolytic when absorbed.
6. easy to sterilize.
7. inexpensive.

Will nerves regenerate after prostate surgery?

Nerve tissue can be easily damaged during robotic prostatectomy, regardless of the skill of the surgeon, and takes a long time to regenerate. It is believed that early postoperative medical therapy can aid an earlier return to potency.

Is there such a thing as TURP syndrome?

Transurethral resection of the prostate (TURP) syndrome is fluid overload and iso-osmolar hyponatraemia during TURP from large volumes of irrigation fluid being absorbed through venous sinuses No such thing exists (of course), but it would have these features:

What causes transurethral resection of the prostate ( TURP )?

Transurethral resection of the prostate (TURP) syndrome is fluid overload and iso-osmolar hyponatraemia during TURP from large volumes of irrigation fluid being absorbed through venous sinuses. Irrigation fluid is required to maintain visibility despite bleeding tissue beds.

Who is the anaesthetic Managent of TURP presentor?

1. ANAESTHETIC MANAGENT OF TURP Presentor : Ritika Gupta Moderator : Dr Trishala Jain 2.

How is glycine metabolized in TURP syndrome?

TURP SYNDROME – HYPERGLYCINEMIA  Glycine, a non essential amino acid, is an inhibitory neurotransmitter in spinal cord and retina.  Metabolized in liver by oxidative deamination to ammonia and glyoxylic and oxalic acid.  When absorbed in large amounts, has direct toxic effects on heart and retina.

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