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Anesthesiology pp 845-850 | Cite as

Anesthesia for TURP

  • Maimouna Bah
  • Michael Stuart Green
Chapter

Abstract

Transurethral resection of the prostate (TURP) remains the gold standard treatment for benign prostatic hyperplasia. It is a less invasive approach than traditional suprapubic or retropubic open prostatectomy. However due to the significant complication associated with the procedure, including TURP syndrome, other techniques have been developed that resulted in the steady decline of its use. TURP can be performed utilizing either general or spinal anesthesia with advantages and disadvantages related to both anesthetic methods. Anesthetic concerns and complications during the preoperative, intraoperative, and postoperative phases are discussed. Early detection and prevention remains the most important factors in reducing complications and shortening the recovery period.

Keywords

TURP syndrome Prostatic hyperplasia Transurethral resection of prostate Urinary tract Water intoxication 

References

  1. 1.
    Azar I. Transurethral resection of prostate. In: Malhotra V, editor. Anesthesia for renal and genitourinary surgery. New York: McGraw-Hill; 1996. p. 93–109.Google Scholar
  2. 2.
    Feng F, Chen Z, Cromer J, et al. Anesthetic concerns for patients undergoing a transurethral resection of the prostate (TURP). Urol Nurs. 2016;36(2):75–81.PubMedGoogle Scholar
  3. 3.
    Omar MI, Lam TB, Alexander CE, et al. Systematic review and meta-analysis of the clinical effectiveness of bipolar compared with monopolar transurethral resection of the prostate (TURP). BJU Int. 2014;113(1):24–35.  https://doi.org/10.1111/bju.12281.CrossRefPubMedGoogle Scholar
  4. 4.
    Engeler DS, Schwab C, Neyer M, Grun T, Reissigl A, Schmid HP. Bipolar versus monopolar TURP: a prospective controlled study at two urology centers. Prostate Cancer Prostatic Dis. 2010;13(3):285–91.CrossRefPubMedGoogle Scholar
  5. 5.
    Miller RD. Miller’s anesthesia. 7th ed. Philadelphia, PA: Churchill Livingstone/Elsevier; 2010.Google Scholar
  6. 6.
    Barash PG, Cullen BF, Stoelting RK, et al. Clinical anesthesia. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2009.Google Scholar
  7. 7.
    Wang J, Pang L, Han W, Li G, Wang N. Effect of preemptive intravenous oxycodone on low dose bupivacaine spinal anesthesia with intrathecal sufentanil. Saudi Med J. 2015;36(4):437–41.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Rice KR, Brassell SA, McLeod DG. Venous thromboembolism in urologic surgery: prophylaxis, diagnosis, and treatment. Rev Urol. 2010;12(2–3):e111–24.PubMedPubMedCentralGoogle Scholar
  9. 9.
    Ovassapian A, Joshi CW, Brunner EA. Visual disturbance: an unusual symptom of transurethral prostatic resection reaction. Anesthesiology. 1982;57:332–4.CrossRefPubMedGoogle Scholar
  10. 10.
    Fujiwara A, Nakahira J, Sawai T, Inamoto T, Minami T. Prediction of clinical manifestations of transurethral resection syndrome by preoperative ultrasonographic estimation of prostate weight. Bio Med Central Urol. 2014;16(14):67.Google Scholar
  11. 11.
    Thomas AZ, Thomas AA, Conlon P, Hickey D, Little DM. Benign prostatic hyperplasia presenting with renal failure—what is the role for transurethral resection of the prostate (TURP)? Ir Med J. 2009;102(2):43–4.PubMedGoogle Scholar
  12. 12.
    Seitz M, Soljanik I, Stanislaus P, Sroka R, Stief C. Explosive gas formation during transurethral resection of the prostate (TURP). Eur J Med Res. 2008;13(8):399–400.PubMedGoogle Scholar
  13. 13.
    Aziz W, Ather MH. Frequency of electrolyte derangement after transurethral resection of prostate: need for postoperative electrolyte monitoring. Adv Urol. 2015;2015:415735.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Bach T, Geavlete B, Pfeiffer D, Wendt-Nordahl G, Michel MS, Gross AJ. TURP in patients with biopsy-proven prostate cancer: sensitivity for cancer detection. Urology. 2009;73(1):100–4.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Anesthesiology and Perioperative MedicineDrexel University College of Medicine, Hahnemann University HospitalPhiladelphiaUSA
  2. 2.Department of Anesthesiology and Perioperative MedicineDrexel University College of MedicinePhiladelphiaUSA

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