Document Detail


Computer-controlled monitoring of bladder pressure in the prevention of 'TUR syndrome': a randomized study of 53 cases.
MedLine Citation:
PMID:  8813919     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the performance of a computer-controlled monitor of bladder pressure in the prevention of transurethral resection (TUR) syndrome. PATIENTS AND METHODS: The in vitro pressure loss in catheters and endoscopes of different size was measured for irrigant flow rates of 0-500 mL/min to calibrate them before surgery. The calibrations were used in a computerized monitoring system designed to control bladder pressure during TUR of the prostate (TURP). The performance of the system was assessed in a randomized study of 53 patients with a prostate adenoma or carcinoma (Group A, 27 unmonitored patients; Group B, 26 monitored patients). The primary criterion for evaluating the absorption of irrigating fluid was the level of glycine in the blood. RESULTS: When patients with capsule perforation were included in the analysis, there was no statistically significant difference in mean glycine absorption between the groups, although glycine levels were highest in Group A, particularly in those cases with perforation (four in Group A; two in Group B). When the results for patients with capsule perforation were excluded from the analysis, there was a significant difference in the incidence of irrigant absorption between the groups. The extent of absorption was not related to the duration of operation (which was shorter in Group B) nor to the weight of resection chippings. CONCLUSION: The continuous computerized monitoring of bladder pressure during TURP effectively reduced the absorption of irrigant fluid, making the procedure safer for the patient and easier for the surgeon.
Authors:
J Hubert; L Cormier; P F Gerbaud; F Guillemin; J P Pertek; P Mangin
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  British journal of urology     Volume:  78     ISSN:  0007-1331     ISO Abbreviation:  Br J Urol     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1996-10-24     Completed Date:  1996-10-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  15740090R     Medline TA:  Br J Urol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  228-33     Citation Subset:  IM    
Affiliation:
Department of Urology, Centre Hospitalier Universitaire Brabois, Nancy, France.
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MeSH Terms
Descriptor/Qualifier:
Adenoma / physiopathology,  surgery
Aged
Aged, 80 and over
Carcinoma / physiopathology,  surgery
Endoscopy
Humans
Male
Manometry
Middle Aged
Monitoring, Intraoperative
Organ Size
Pressure
Prostatectomy / methods*
Prostatic Neoplasms / physiopathology,  surgery
Sensitivity and Specificity
Syndrome
Therapy, Computer-Assisted
Urinary Bladder Diseases / etiology,  physiopathology,  prevention & control*
Urinary Catheterization
Urology / instrumentation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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