Urology: TURP Syndrome

Abstract

In this chapter the essential aspects of anesthesia for transurethral resection of the prostate (TURP) syndrome are discussed. Specifically, the role of general versus regional anesthesia, the treatment of hyponatremia, and ways to prevent the development of TURP syndrome are reviewed. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Aspects of preoperative management that are discussed include assessment of comorbidities and use of laser therapy. Intraoperative topics are monitoring, anesthesia used, definition of and concerns related to TURP, bladder perforation, and hyponatremia. Central pontine myelinolysis, glycine toxicity, and oliguria are addressed under postoperative management.