A CASE OF TUR SYNDROME WITH SIGNIFICANT HYPONATREMIA

Abstract

During transurethral resection of the prostate (TUR-P), a non-electrolyte solution with sorbitol was used for irrigation. TUR-syndrome, which is a well-known complication of TUR-P, occurs as a result of irrigant absorption and dilutional hyponatremia. Although patients with TUR syndrome complain of various symptoms and signs, most do not exceed clinical tolerance. However, life-threatening TUR syndrome has still been reported. We experienced a case of TUR syndrome with severe hyponatremia and hypoxemia. Anesthesiologists must carefully monitor not only changes of vital signs and symptoms, but also the total amount of irrigant, total volume of blood loss and surgical time to avoid hyponatremia and to detect TUR syndrome during TUR-P.