LOWER NEPHRON NEPHROSIS FOLLOWING TRANSURETHRAL RESECTION OF THE PROSTATE GLAND

REPORT OF TWO CASES

Abstract

Two cases of the clinical lower nephron nephrosis following transurethral resection of the prostate gland are presented and discussed.
Sterile distilled water was the irrigating medium and post-resection hemoglobinemia of 518mg per cent was noticed in one case and apparently higher but not quantified in the other case. The marked oliguria syndrome followed by uremia was occurred in both cases but was successfully managed by careful control of the serum electrolyte and water balance.
Use of nonhemolytic irrigating medium is desirable to prevent hemolytic reaction during resection. However, we still feel that plain water is an excellent irrigating medium because it produces a better visual field for the resectionist. Recently, we are gaining a satisfactory result by limiting the use of plain water up to ten litters and then change to 4% glucose when more irrigating medium is needed.