Acute tubular necrosis after transurethral resection of the prostate: a case report

Transurethral resection of the prostate (TURP) is currently the gold standard for the surgical treatment of benign prostatic hyperplasia. This surgery may lead to TURP syndrome and in some cases, acute tubular necrosis can develop. CASE PRESENTATION: We had a 67-year-old male patient who had benign...

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Autores principales: Al-Hajjaj, Maher, Alqasem, Omar, Elrayah Mohamed, Amna, Al-Ashi, Ahmad, Abokhsab, Mahmoud M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9949820/
https://www.ncbi.nlm.nih.gov/pubmed/36845806
http://dx.doi.org/10.1097/MS9.0000000000000228
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author Al-Hajjaj, Maher
Alqasem, Omar
Elrayah Mohamed, Amna
Al-Ashi, Ahmad
Abokhsab, Mahmoud M.
author_facet Al-Hajjaj, Maher
Alqasem, Omar
Elrayah Mohamed, Amna
Al-Ashi, Ahmad
Abokhsab, Mahmoud M.
author_sort Al-Hajjaj, Maher
collection PubMed
description Transurethral resection of the prostate (TURP) is currently the gold standard for the surgical treatment of benign prostatic hyperplasia. This surgery may lead to TURP syndrome and in some cases, acute tubular necrosis can develop. CASE PRESENTATION: We had a 67-year-old male patient who had benign prostate hyperplasia unresponsive to tamsulosin. He underwent TURP surgery. After that, he had acute tubular necrosis because of hemolysis. We performed hemodialysis to decrease serum creatinine level. DISCUSSION: Acute tubular necrosis is the result of hemolysis. Rapid absorption of large volumes of glycerin may lead to hypotension and acute kidney injury. CONCLUSION: Using distilled water for irrigation during TURP may lead to severe complications like hypotension and acute tubular necrosis.
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spelling pubmed-99498202023-02-24 Acute tubular necrosis after transurethral resection of the prostate: a case report Al-Hajjaj, Maher Alqasem, Omar Elrayah Mohamed, Amna Al-Ashi, Ahmad Abokhsab, Mahmoud M. Ann Med Surg (Lond) Case Reports Transurethral resection of the prostate (TURP) is currently the gold standard for the surgical treatment of benign prostatic hyperplasia. This surgery may lead to TURP syndrome and in some cases, acute tubular necrosis can develop. CASE PRESENTATION: We had a 67-year-old male patient who had benign prostate hyperplasia unresponsive to tamsulosin. He underwent TURP surgery. After that, he had acute tubular necrosis because of hemolysis. We performed hemodialysis to decrease serum creatinine level. DISCUSSION: Acute tubular necrosis is the result of hemolysis. Rapid absorption of large volumes of glycerin may lead to hypotension and acute kidney injury. CONCLUSION: Using distilled water for irrigation during TURP may lead to severe complications like hypotension and acute tubular necrosis. Lippincott Williams & Wilkins 2023-02-07 /pmc/articles/PMC9949820/ /pubmed/36845806 http://dx.doi.org/10.1097/MS9.0000000000000228 Text en © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (https://creativecommons.org/licenses/by-nc/4.0/) (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Case Reports
Al-Hajjaj, Maher
Alqasem, Omar
Elrayah Mohamed, Amna
Al-Ashi, Ahmad
Abokhsab, Mahmoud M.
Acute tubular necrosis after transurethral resection of the prostate: a case report
title Acute tubular necrosis after transurethral resection of the prostate: a case report
title_full Acute tubular necrosis after transurethral resection of the prostate: a case report
title_fullStr Acute tubular necrosis after transurethral resection of the prostate: a case report
title_full_unstemmed Acute tubular necrosis after transurethral resection of the prostate: a case report
title_short Acute tubular necrosis after transurethral resection of the prostate: a case report
title_sort acute tubular necrosis after transurethral resection of the prostate: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9949820/
https://www.ncbi.nlm.nih.gov/pubmed/36845806
http://dx.doi.org/10.1097/MS9.0000000000000228
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