TURP syndrome: A rare case report from Syria

Maher Al-Hajjaj; Muhamad Kanjo; Mohamed Tallaa

doi:10.1016/j.ijscr.2022.107021

TURP syndrome: A rare case report from Syria

Int J Surg Case Rep. 2022 Apr:93:107021. doi: 10.1016/j.ijscr.2022.107021. Epub 2022 Apr 4.

Authors

Maher Al-Hajjaj¹, Muhamad Kanjo², Mohamed Tallaa³

Affiliations

¹ Department of Urology, Aleppo University Hospital, Aleppo, Syria. Electronic address: alhajjaj963@gmail.com.
² Department of Internal Medicine, Aleppo University Hospital, Aleppo, Syria.
³ Department of Internal Medicine, Al-Moujtahed Hospital, Damascus, Syria.

Abstract

Introduction an importance: Transurethral resection of prostate (TURP) is a rare but extremely dangerous condition. Although this complication is well described previously, we still see it those days.

Case presentation: We report a case of 66-year-old male patient presented with symptoms of enlarged prostate. Ultrasound showed the prostate weight was 90 g. He was scheduled for transurethral resection of prostate. The procedure took 65 min with the use of monopolar device. One hour after operation, he had confusion, bradycardia, and elevated blood pressure. Laboratories showed hyponatremia and hyperkalemia. We infused the patient with saline 3% solution after the diagnosis of TURP syndrome. On next day, he gained his full recovery and we discharged him.

Clinical discussion: Our patient suffered from TURP syndrome. Laboratory evaluation of blood electrolytes led to confirm the diagnosis. We immediately infused hypertonic saline intravenously. We monitored the patient clinically and with serial assessments of blood electrolytes.

Conclusion: TURP syndrome is considered a serious complication in urology surgery. Urologists should suspect this complication in prolonged TURP surgery. Early diagnosis is crucial to save patient's life.

Keywords: Benign prostatic hyperplasia; Case report; TURP syndrome.