Evaluation of changes in serum concentration of sodium in a transurethral resection of the prostate

Panovska Petrusheva, Aleksandra and Kuzmanovska, Biljana and Mojsova, Maja and Kartalov, Andrijan and Spirovska, Tatjana and Shosholcheva, Mirjana and Temelkovska Stevanoska, Marina and Zdravkovska, Milka and Dohchev, Sasho and Stankov, Oliver (2015) Evaluation of changes in serum concentration of sodium in a transurethral resection of the prostate. Contributions, Sec. Biol. Med. Sci., 36 (1). pp. 117-127. ISSN 1857-9345

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Abstract

Introduction and objectives: The purpose of this study was to evaluate changes in serum electrolytes during Transurethral resection of the prostate (TURP) and to evaluate the degree of correlation of hyponatremia and the factors that affect the incidence of TURP syndrome and to show the impact of the duration of the procedure on the severity of hyponatremia due to absorption of irrigation fluid in the systemic circulation.
Materials and Methods: This study examined 60 male patients planned for elective TURP. The level of serum electrolytes are determined by taking venous blood samples preoperatively and Postope-ratively and when the duration of the operation was longer than 60 minutes, the level of serum electrolytes was determined intraoperative. The amount of used irrigation fluid, the weight of resec-tion prostate, and duration of surgery, were also followed.
Patients were divided in two groups according to the length of the surgical procedure: Group 1 (30–60 min) and Group 2 (> 60 min).
Results: Statistically significant reduction of serum sodium and the elevation of the potassium level in serum observed postoperatively and was directly proportional to the volume of of the used irrigation fluid, the duration of the procedure and volume of the resected prostate.
Conclusions: To evaluate changes in serum electrolyte during TURP is simple and economical method for the indirect estimation of irrigation fluid absorption into the systemic circulation during TURP and opportunity for early identification of TURP syndrome.
Key words: TURP, TURP syndrome, hiponatremia, hiperkalemia.

Item Type:	Article
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health sciences
Divisions:	Faculty of Medical Science
Depositing User:	Milka Zdravkovska
Date Deposited:	27 Nov 2015 10:57
Last Modified:	27 Nov 2015 10:57
URI:	https://eprints.ugd.edu.mk/id/eprint/14359

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