Frequency of Electrolyte Derangement after Transurethral Resection of Prostate: Need for Postoperative Electrolyte Monitoring
Objective. To determine the electrolyte derangement following transurethral resection of prostate (TURP). Methods. All patients undergoing TURP from June 2012 to April 2013 were included. Preoperative electrolytes were performed within a week of procedures. Monopolar TURP using 1.5% glycine was perf...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2015/415735 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832563003543781376 |
|---|---|
| author | Wajahat Aziz M. Hammad Ather |
| author_facet | Wajahat Aziz M. Hammad Ather |
| author_sort | Wajahat Aziz |
| collection | DOAJ |
| description | Objective. To determine the electrolyte derangement following transurethral resection of prostate (TURP). Methods. All patients undergoing TURP from June 2012 to April 2013 were included. Preoperative electrolytes were performed within a week of procedures. Monopolar TURP using 1.5% glycine was performed. Serum Na+ and K+ were assessed within 1 hour postoperatively and subsequently if clinically indicated. Results. The study included 280 patients. Sixty-six patients (23.6%) had electrolyte derangement after TURP. Patients with deranged electrolytes were older (mean age of 73.41 ± 4.08 yrs. versus 68.93 yrs. ± 10.34) and had a longer mean resection time (42.5 ± 20.04 min versus 28.34 ± 14.64 min). Mean weight of tissue resected (41.49 ± 34.46 g versus 15.33 ± 9.74 g) and volume of irrigant used (23.55 ± 15.20 L versus 12.81 ± 7.57 L) were also significantly higher in patients with deranged electrolytes (all p=0.00). On multivariate logistic regression analysis preoperative sodium level was found to be a significant predictor of postoperative electrolyte derangement (odds ratio 0.267, S.E. = 0.376, and p value = 0.00). Conclusion. Electrolyte derangement occurs in older patients, with larger amount of tissue and longer time of resection and higher volume of irrigant, and in those with lower serum preoperative sodium levels. |
| format | Article |
| id | doaj-art-26826acf01754ebcbd95a4845498cdad |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-26826acf01754ebcbd95a4845498cdad2025-02-03T01:21:08ZengWileyAdvances in Urology1687-63691687-63772015-01-01201510.1155/2015/415735415735Frequency of Electrolyte Derangement after Transurethral Resection of Prostate: Need for Postoperative Electrolyte MonitoringWajahat Aziz0M. Hammad Ather1Section of Urology, Department of Surgery, Aga Khan University, P.O. Box 3500, Stadium Road, Karachi 74800, PakistanSection of Urology, Department of Surgery, Aga Khan University, P.O. Box 3500, Stadium Road, Karachi 74800, PakistanObjective. To determine the electrolyte derangement following transurethral resection of prostate (TURP). Methods. All patients undergoing TURP from June 2012 to April 2013 were included. Preoperative electrolytes were performed within a week of procedures. Monopolar TURP using 1.5% glycine was performed. Serum Na+ and K+ were assessed within 1 hour postoperatively and subsequently if clinically indicated. Results. The study included 280 patients. Sixty-six patients (23.6%) had electrolyte derangement after TURP. Patients with deranged electrolytes were older (mean age of 73.41 ± 4.08 yrs. versus 68.93 yrs. ± 10.34) and had a longer mean resection time (42.5 ± 20.04 min versus 28.34 ± 14.64 min). Mean weight of tissue resected (41.49 ± 34.46 g versus 15.33 ± 9.74 g) and volume of irrigant used (23.55 ± 15.20 L versus 12.81 ± 7.57 L) were also significantly higher in patients with deranged electrolytes (all p=0.00). On multivariate logistic regression analysis preoperative sodium level was found to be a significant predictor of postoperative electrolyte derangement (odds ratio 0.267, S.E. = 0.376, and p value = 0.00). Conclusion. Electrolyte derangement occurs in older patients, with larger amount of tissue and longer time of resection and higher volume of irrigant, and in those with lower serum preoperative sodium levels.http://dx.doi.org/10.1155/2015/415735 |
| spellingShingle | Wajahat Aziz M. Hammad Ather Frequency of Electrolyte Derangement after Transurethral Resection of Prostate: Need for Postoperative Electrolyte Monitoring Advances in Urology |
| title | Frequency of Electrolyte Derangement after Transurethral Resection of Prostate: Need for Postoperative Electrolyte Monitoring |
| title_full | Frequency of Electrolyte Derangement after Transurethral Resection of Prostate: Need for Postoperative Electrolyte Monitoring |
| title_fullStr | Frequency of Electrolyte Derangement after Transurethral Resection of Prostate: Need for Postoperative Electrolyte Monitoring |
| title_full_unstemmed | Frequency of Electrolyte Derangement after Transurethral Resection of Prostate: Need for Postoperative Electrolyte Monitoring |
| title_short | Frequency of Electrolyte Derangement after Transurethral Resection of Prostate: Need for Postoperative Electrolyte Monitoring |
| title_sort | frequency of electrolyte derangement after transurethral resection of prostate need for postoperative electrolyte monitoring |
| url | http://dx.doi.org/10.1155/2015/415735 |
| work_keys_str_mv | AT wajahataziz frequencyofelectrolytederangementaftertransurethralresectionofprostateneedforpostoperativeelectrolytemonitoring AT mhammadather frequencyofelectrolytederangementaftertransurethralresectionofprostateneedforpostoperativeelectrolytemonitoring |