Correction of TUR syndrome

Abstract

n modern urology, transurethral resection of the prostate (TURP) is recognized as the "gold standard" of prostate surgery and accounts for 95% of surgical interventions for benign prostatic hyperplasia (BPH). The standard indication for performing TURP is the surgeon's confidence that the operation will be performed in no more than 60 minutes. The aim the study. The risk of operative complications, including bleeding and injury to the capsule with the extravasation of irrigation fluid, increases sharply with increasing duration of surgery and is directly related to the volume of the prostate gland. When the size of the organ is more than 70-80 cm3, the operational risk increases significantly. Mortality in the early postoperative period is up to 1.18% and is associated with concomitant cardiovascular and pulmonary pathology. This indicator is identical for both TURP and open surgery. One of the most frequent and serious complications of transurethral surgical treatment of BPH is transurethral resection syndrome (TUR syndrome). This condition is accompanied by clouding of consciousness, nausea, vomiting, arterial hypertension, bradycardia and a feeling of anxiety. The appearance of this symptomatology is emphasized when the level of sodium in the blood falls below 125 meq/l and is associated with fluid reabsorption during surgery. The risk of Tour's syndrome is directly proportional to the duration of the operation, since the irrigation fluid is absorbed during the resection.