COMPARISON OF SERUM SODIUM, SERUM POTASSIUM, AND BLOOD HEMOGLOBIN CHANGES AFTER TRANSURETHRAL RESECTION OF THE PROSTATE BETWEEN IRRIGATION WITH NORMAL SALINE AND STERILE WATER
Objective: This study aims to know whether there are significant differences of blood sodium, potassium and hemoglobin level among patients post TURP who was irrigated by using normal saline and the sterile water. Material & Method: This is a single blind randomized clinical trial study performed from September 1, 2008 until August 31, 2009. Thirty-one subjects participated in this study. The subjects were divided into two groups, 14 subjects for normal saline (group I) irrigation and 17 subjects for sterilized water irrigation (group II). Results: There are statistically differences (p < 0,05) between hemoglobin concentrations changes in group I, and hemoglobin and sodium concentration changes in group II. There were no statistically differences (p > 0,05) in sodium and potassium changes in group I and potassium in group II. There are no statistically differences in hemoglobin, sodium, and potassium changes among two groups. Conclusion: Normal saline irrigant for irrigation after TURP give more stable post operative electrolyte profile compared to sterilized water.
Keywords: TUR prostate, irrigation, serum sodium, potassium level differences.
Fitzpatrick, Mebust 40. Minimally invasive and endoscopic management of benign prostatic hyperplasia. In: Retik AB, Vaughan ED, Wein AJ. Campbell’s Urology. 8th ed. Philadelphia: Saunders. 2002; 2: 1379-421.
Hahn RG. Review irrigating fluids in endoscopic surgery. Brit J Urol; 1997. p. 669-80.
Michielsen DPJ, Debacker T, De Boe T, Lersberghe CV, Kaufman L. Bipolar transurethral resection in saline—an alternative surgical treatment for bladder outlet obstruction? American Urological Association. J Urol 2007; 178: 2035-9.
Aghamir SHK, Alizadeh F, Meysamie A, Rad SA, Edrisi L. Sterile water versus isotonic saline solution as irrigation fluid in percutaneous nephrolithotomy. Cited from www.uj.unrc.ir. J Urol 2009; 6 (4): 249-53.
Singhania P, Nandini D, Sarita F, Hemant P, Hemalata I. Transurethral resection of prostate: A comparison of standard monopolar versus bipolar saline resection. Cited from http://www.brazjurol.com.br/march_april_2010/Singhania_183_189.htm. Int Braz J Urol 2010; 36 (2): 183-9.
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.