Document Detail


Ethanol-glycine irrigating fluid for transurethral resection of the prostate in practice.
MedLine Citation:
PMID:  10886081     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the usefulness of a tracer of 1% ethanol in 1. 5% glycine in the early detection of irrigation fluid absorption during transurethral resection of the prostate (TURP). PATIENTS AND METHODS: Patients (120) undergoing TURP were irrigated with 1% ethanol in 1.5% glycine solution and their expired air tested for alcohol every 10 min during the procedure. RESULTS: In all, 112 patients were assessed; over half of the patients absorbed the irrigation fluid and they had a significantly lower postoperative serum sodium concentration (P < 0.002). Fourteen patients (12.5%) absorbed over 500 mL and two (1.8%) developed clinical features of the TUR syndrome. The experience of the surgeon, the weight of resected chips and the operative duration were not significantly predictive of absorption. CONCLUSION: A tracer amount of ethanol in the irrigant is reliable for detecting absorption. Irrigating fluid absorption was unpredictable, thus supporting the case for routine monitoring.
Authors:
A A Okeke; R Lodge; A Hinchliffe; A Walker; D Dickerson; D A Gillatt
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  BJU international     Volume:  86     ISSN:  1464-4096     ISO Abbreviation:  BJU Int.     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2000-09-06     Completed Date:  2000-09-06     Revised Date:  2006-07-18    
Medline Journal Info:
Nlm Unique ID:  100886721     Medline TA:  BJU Int     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  43-6     Citation Subset:  IM    
Affiliation:
Departments of Urology and Anaesthesia, Weston General Hospital, Weston-super-Mare, UK.
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MeSH Terms
Descriptor/Qualifier:
Absorption
Aged
Aged, 80 and over
Drug Combinations
Ethanol / diagnostic use*
Glycine / diagnostic use*
Humans
Irrigation / methods*
Male
Middle Aged
Prostatic Diseases / surgery*
Transurethral Resection of Prostate / methods*
Chemical
Reg. No./Substance:
0/Drug Combinations; 56-40-6/Glycine; 64-17-5/Ethanol
Comments/Corrections
Comment In:
BJU Int. 2002 Jun;89(9):972   [PMID:  12010254 ]
BJU Int. 2001 Jul;88(1):127-8   [PMID:  11446866 ]
BJU Int. 2001 May;87(7):716   [PMID:  11350423 ]
BJU Int. 2000 Dec;86(9):1096   [PMID:  11119117 ]

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


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