Key result
In patients undergoing transurethral resection of the prostate, 62% developed mild to moderate hyponatremia, with longer operation duration significantly associated with greater serum sodium changes.
Why the study?
Transurethral resection of prostate is one of the most common urological procedures, and the study aimed to evaluate hyponatremia associated with the procedure.
What is the incidence of hyponatremia in patients undergoing transurethral resection of prostate?
Observational (n=60)
Yes
What is the incidence of hyponatremia in patients undergoing transurethral resection of prostate?
Hyponatremia is a common complication following transurethral resection of the prostate, and its severity is significantly associated with the duration of the operation.
Supports vigilant sodium monitoring in TURP; leaves open whether operative duration is causal pending prospective trials.
Introduction: Transurethral resection of prostate (TURP) is one of the most common urological procedures performed. Objectives: The main objective of the study is to find the hyponatremia in transurethral resection of prostate. Materials and Method: This prospective study was conducted in Shaikh Khaleefa Bin Zaid Hospital/CMH Muzaffarabad AJK, Ganga Ram Hospital Lahore and PKLI Lahore, from May 2020 to April 2021. 60 male patients aged 45 – 75 years presented for TURP were enrolled in the study with ASA classification of grade I and IV. Informed and written consent was obtained from all study subjects. Results: The mean of all study subjects was reported to be 71.58 ± 7.76years. The majority of the patients had grade I or III. Spinal anesthesia was given to 31 patients (62%) and 19 (38%) patients were subjected to general anesthesia. The mean duration of procedure was 72.42 ± 24.77min. The mean size of the resected prostate was 54.82 ± 25.04g with the minimum and maximum size being 21.4 g and 131 g. Blood transfusion was done in only 5 patients (10%). Conclusion: It is concluded that hyponatremia is a common finding in patients undergoing TURP. We observed that duration of operation is one of the deciding factor to determine the level of hyponatremia.
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Ahmed et al. (2022) conducted an observational in Benign Prostatic Obstruction (n=60). Transurethral resection of prostate (TURP) was evaluated on Incidence of postoperative hyponatremia. In patients undergoing transurethral resection of the prostate, 62% developed mild to moderate hyponatremia, with longer operation duration significantly associated with greater serum sodium changes.
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