| Ethanol-glycine irrigating fluid for transurethral resection of the prostate in practice. | |
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MedLine Citation:
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PMID: 10886081 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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A A Okeke; R Lodge; A Hinchliffe; A Walker; D Dickerson; D A Gillatt |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: BJU international Volume: 86 ISSN: 1464-4096 ISO Abbreviation: BJU Int. Publication Date: 2000 Jul |
Date Detail:
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Created Date: 2000-09-06 Completed Date: 2000-09-06 Revised Date: 2006-07-18 |
Medline Journal Info:
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Nlm Unique ID: 100886721 Medline TA: BJU Int Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 43-6 Citation Subset: IM |
Affiliation:
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Departments of Urology and Anaesthesia, Weston General Hospital, Weston-super-Mare, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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0/Drug Combinations; 56-40-6/Glycine; 64-17-5/Ethanol |
| Comments/Corrections | |
Comment In:
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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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