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[Article in Japanese] Author H Komatsu 1 Affiliation 1 Department of Urology, Yamanashi Medical University. PMID: 9278006 No abstract available. Publication types Review Transurethral resection of the prostate (commonly known as a TURP, plural TURPs, and rarely as a transurethral prostatic resection, TUPR) is a urological operation. It is used to treat benign prostatic hyperplasia (BPH). As the name indicates, it is performed by visualising the prostate through the urethra and removing tissue by electrocautery or sharp dissection. Symptoms of TUR syndrome In the early onset of TUR syndrome, a conscious patient initially complains of nausea, possibly accompanied by vomiting (Table 1). Cooperatively, the anesthesia care provider, surgeon, and circulating nurse determine whether the nausea and/or vomiting are caused by spinal anesthetic or TUR syndrome.

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Conflict: preference for neuraxial technique to monitor CNS symptoms vs. any contraindications to neuraxial. Problems in PAR include: post-op delirium, hypotension, respiratory distress (need to consider comorbidities) TURP Syndrome TURP syndrome may occur as quickly as 15 minutes after resection starts , or up to 24 hours postoperatively . Of approximately 400,000 TURP procedures each year , 10% to 15% incur TURP syndrome and the mortality is 0.2% to 0.8% .

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Tourette syndrome or Tourette's syndrome (abbreviated as TS or Tourette's) is a common neurodevelopmental disorder that begins in childhood or adolescence. It is characterized by multiple movement (motor) tics and at least one vocal (phonic) tic. In a retrospective study of 522 consecutive patients who were subjected to transurethral resection of the prostate with suprapubic trocar technique, six patients were suspected of having transurethral prostatic resection syndrome. The majority of the transurethral resections were performed by surgical or urological trainees. Only two patients fulfilled the criterion for TUR syndrome caused by TURP syndrome comprises the effects produced by rapid changes in osmolality and circulating volume, together with the effects of glycine, caused by the absorption of glycine 1.5%. In TURP syndrome, hypoosmolality is more important than hyponatraemia in causing central nervous system disturbances.

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It occurs as a consequence of the absorption of the fluids used to irrigate the bladder during the operation into the prostatic venous sinuses. The transfusion rate (0.69 %), TUR syndrome (0.78 %) and the urinary infection rate (1.1 %) are all very low. In 4.7 % a re-operation was necessary, mostly due to significant haematuria.
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Attention to blood loss & appropriate replacement. Conflict: preference for neuraxial technique to monitor CNS symptoms vs. any contraindications to neuraxial. Problems in PAR include: post-op delirium, hypotension, respiratory distress (need to consider comorbidities) TURP Syndrome TURP syndrome. A rare but potentially serious risk associated with a TURP is known as TURP syndrome.