Journal of the Chinese Medical Association
Volume 69, Issue 6 , Pages 270-275 , June 2006

Hemolysis in Transurethral Resection of the Prostate Using Distilled Water as the Irrigant

  • Shiou-Sheng Chen

      Affiliations

    • Division of Urology, Department of Surgery, Taipei City Hospital Renai Branch, Taipei, Taiwan, R.O.C.
    • Division of Urology, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • ,
  • Alex Tong-Long Lin

      Affiliations

    • Division of Urology, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • Department of Urology, National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr. Alex Tong-Long Lin, Division of Urology, Department of Surgery, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C.
    • ,
  • Kuang-Kuo Chen

      Affiliations

    • Division of Urology, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • Department of Urology, National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • ,
  • Luke S. Chang

      Affiliations

    • Department of Urology, National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.

Received 20 July 2005 ,Accepted 25 April 2006.

References 

  1. Andersen TF , Bronnum-Hansen H , Sejr T , Roepstorff C . Elevated mortality following transurethral resection of the prostate for benign hypertrophy? But why? . Med Care . 1990;28:870–881
  2. Hahn RG . Acute myocardial infarction after transurethral resection of the prostate . Biomed Pharmacotherapy . 2001;55:144–147
  3. Roos NP, Wennberg JE, Malenka DJ, Fisher ES, McPherson K, Anderson TF, et al  Mortality and reoperation after open and transurethral resection of the prostate for benign prostatic hyperplasia . New Engl J Med . 1989;320:1120–1124
  4. Gravenstein D . Transurethral resection of the prostate (TURP) syndrome: a review of the pathophysiology and management . Anesth Analg . 1997;84:438–446
  5. Hahn RG . Fluid and electrolyte dynamics during development of the TURP syndrome . Br J Urol . 1990;66:79–84
  6. Memon A , Buchholz NP , Salahuddin S . Water as an irrigant in transurethral resection of the prostate: a cost-effective alternative . Arch Ital Urol Androl . 1999;71:131–134
  7. Rao PN . Fluid absorption during urological endoscopy . Br J Urol . 1987;60:93–99
  8. Beirne GJ , Madsen PO , Burns RO . Serum electrolyte and osmolality changes following transurethral resection of the prostate . J Urol . 1965;93:83–86
  9. Hulten JO , Tran VT , Pettersson G . The control of haemolysis during transurethral resection of the prostate when water is used for irrigation: monitoring absorption by the ethanol method . BJU Int . 2000;86:989–992
  10. Oester A , Madsen PO . Determination of absorption of irrigating fluid during transurethral resection of the prostate by means of radioisotopes . J Urol . 1969;102:714–719
  11. Creevy CD , Reiser MP . The importance of hemolysis in transurethral prostatic resection: severe and fatal reactions associated with the use of distilled water . J Urol . 1963;89:900–905
  12. Hahn RG . Fluid and electrolyte dynamics during development of the TURP syndrome . Br J Urol . 1990;66:79–84
  13. Sohn MH , Vogy C , Heinen G , Epkens M , Nordmyer N , Jakse G . Fluid absorption and circulating endotoxins during transurethral resection of the prostate . Br J Urol . 1993;72:605–610
  14. Hjertberg H , Ekberg S , Hahn R , Hulten J , Jorffldt L , Svedberg J . Absorption of irrigating fluid during transurethral prostatic resection as measured by ethanol, radioisotopes, and regular-interval monitoring . Urology . 1991;38:417–422
  15. Mommsen S , Genster HG , Moller J . Changes in the serum concentration of sodium, potassium, and free haemoglobin during transurethral resection of the prostate: parts of the TURP syndrome? . Urol Res . 1997;5:201–205
  16. Goodwin WE , Cason JF , Scott WW . Hemoglobinemia and lower nephrosis following tranurethral prostatic surgery . J Urol . 1951;65:1075–1092
  17. Chambers A . Transurethral resection syndrome-it does not have to be a mystery . AORN J . 2002;75:156–178
  18. Bichler KH , Ideler V , Zofel P , Harzmann R . Experimental studies on hemolysis in transurethral interventions . Uologe [A] . 1985;24:229–233
  19. Madsen PO. Irrigating Fluids and Their Absorption and Excretion During Transurethral Resection of the Prostate: Experimental and Clinical Studies. Thesis, University of Copenhagen, 1975.
  20. Madsen PO , Naber KG . The importance of the pressure in the prostatic fossa and absorption of irrigating fluid during transurethral resection of the prostate . J Urol . 1973;109:446–452
  21. Heidler H . Frequency and causes of fluid absorption: a comparison of three techniques for resection of the prostate under continuous pressure monitoring . Br J Urol . 1999;83:619–622
  22. Hung CL , Wu CJ , Yang S , Chen HH , Lin JS . Acute renal failure directly caused by hemolysis associated with transurethral resection of the prostate . Urology . 2002;59:137
  23. Sadrzadeh SM , Anderson DK , Panter SS , Hallaway PE , Eaton JW . Hemoglobin potentiates central nervous system damage . J Clin Invest . 1987;79:662–664
  24. Ito T , Nakano M , Yamamoto Y , Hiramitsu T , Mizuno Y . Hemoglobin-induced lipid peroxidation in the retina: a possible mechanism for macular degeneration . Arch Biochem Biophys . 1995;316:864–872
  25. Miles AM , Grisham MB . Antioxidant properties of aminosalicylates . In:  Packer L editors. Oxygen Radicals in Biological System . New York: Academic Press; 1994;p. 568
  26. Huffman LJ , Miles PR , Shi X , Bowman L . Hemoglobin potentiates the production of reactive oxygen species by alveolar macrophages . Exp Lung Res . 2000;26:203–217
  27. Vesela A , Wilhelm J , Kawaciuk I . Investigation of the role of free radical damage in patients after transurethral prostatectomy . J Urol . 2002;167:221

PII: S1726-4901(09)70255-2

doi: 10.1016/S1726-4901(09)70255-2

Journal of the Chinese Medical Association
Volume 69, Issue 6 , Pages 270-275 , June 2006

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