In TURP glycine infusion is given what is consequence:
|D||None of the above|
a. Surgery should be recommended for patients who continue to be bothered by their symptoms or who experience urinary retention despite medical therapy.
b. Surgery should also be recommended for patients with upper tract dilation, renal insufficiency secondary to BPH, or bladder stones.
d. The standard endoscopic procedure for BPH is a transurethral resection (TUR) of the prostate.
e. TUR is performed with a nonhemolytic fluid such as 1.5% glycine.
f. Saline cannot be used because electrolytes in the irrigation fluid will dissipate the electric current used to resect the prostate.
g. During the resection some of the irrigation fluid is absorbed through venous channels in the prostate.
h. If enough fluid is absorbed, TUR syndrome may develop from the resulting hypervolemia and dilutional hyponatremia.
i. Patients with TUR syndrome may experience hypertension, bradycardia, nausea, vomiting, visual disturbance, mental status changes, and even seizures.
k. Following a TUR, patients are hospitalized overnight for continuous bladder irrigation.
l. The hematuria is usually minimal by the following day, and the bladder irrigation can be stopped.
m. Newer technologies use lasers or produce thermal ablation by using radiofrequency or microwave energy.