[Two cases of TURP syndrome with severe cardiovascular depression]

Masui. 2003 May;52(5):512-4.
[Article in Japanese]

Abstract

We report two cases of TURP (transurethral resection of prostate) syndrome showing severe cardiovascular depression without any neurological disturbances. One patient developed hypotension (62/42 mmHg) and ST segment depression (-2.7 mm) on ECG during TURP. Another patient developed hypotension (60/38 mmHg) and nodal bradycardia (34.min-1) 15 minutes after the operation. No neurological signs were observed, despite severe hyponatremia (113 and 117 mEq.l-1, respectively). It is highly likely that hypovolemia and/or electrophysiological inhibition of pacemaker cell due to hyponatremia caused the symptoms. We emphasize that sudden circulatory depression as well as neurological disorders should be recognized as a major symptom of TURP syndrome.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Bradycardia / etiology
  • Electrocardiography
  • Humans
  • Hyponatremia / etiology*
  • Hypotension / etiology*
  • Hypovolemia / etiology
  • Intraoperative Complications / etiology*
  • Male
  • Middle Aged
  • Syndrome
  • Transurethral Resection of Prostate / adverse effects*
  • Water Intoxication / etiology