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Canadian Journal of Anesthesia, Vol 42, 69-72, Copyright © 1995 by Canadian Anesthesiologists' Society

ARTICLES

Transurethral resection syndrome after transurethral resection of bladder tumours

RG Hahn
Department of Anaesthesiology, Huddinge University Hospital, Sweden.

The transurethral resection syndrome has not previously been described after bladder surgery. This article reports four patients who developed signs of this syndrome after transurethral resection of bladder tumours (TURB). Symptoms included abdominal pain, arterial hypotension, nausea and vomiting. There was evidence in all cases that the cause was absorption of irrigating fluid by the extravascular route. Fluid absorption was detected by ethanol in two patients and the urologist noted a perforation during the third operation. The most complicated clinical course occurred in the case where there was a delay of three hours before the diagnosis was made. Medical treatment consisted of antiemetics and volume expansion of the extracellular fluid compartment as extravasation is associated with hypovolaemia. Diuretics were not given until the circulation had been restored.


This article has been cited by other articles:


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R. G. Hahn
Fluid absorption in endoscopic surgery
Br. J. Anaesth., January 1, 2006; 96(1): 8 - 20.
[Abstract] [Full Text] [PDF]

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 Anesth. Analg.Home page
I. Dorotta, A. Basali, M. Ritchey, J. F. O'Hara Jr., and J. Sprung
Transurethral Resection Syndrome After Bladder Perforation
Anesth. Analg., November 1, 2003; 97(5): 1536 - 1538.
[Abstract] [Full Text] [PDF]


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Copyright © 1995 by the Canadian Anesthesiologists' Society.