Changes in serum Na+ and blood hemoglobin levels during three types of transurethral procedures for the treatment of benign prostatic hypertrophy

Takashi Akata, Hayashi Yoshimura, Yuko Matsumae, Hiroaki Shiokawa, Tomoko Fukumoto, Tadashi Kandabashi, Taiki Yamaji, Shosuke Takahashi

研究成果: ジャーナルへの寄稿記事

7 引用 (Scopus)

抄録

Background: Transurethral holmium YAG laser resection of the prostate (HoLR-P) and transurethral electrovaporization of the prostate (TUV-P) have recently received increasing attention as an effective minimally invasive approach for the treatment of prostatic hypertrophy. However, less information is available regarding the intraoperative changes in the serum Na+ and blood hemoglobin levels during either HoLR-P or TUV-P. Methods: Intraoperative changes in serum Na+ and blood hemoglobin levels were investigated in 17 patients undergoing transurethral resection of the prostate (TUR-P, n = 7), HoLR-P (n = 7) or TUV-P (n = 3). The 3% D-sorbitol solution was used as the irrigating fluid in all the patients. Results: In three patients, severe hyponatremia (118-123 mEq · l-1) developed abruptly (≤15 min) at various time points during TUR-P with (n = 1) or without (n=2) cystostomy. However, no clinical symptoms were observed after development of the hyponatremia in those awake patients. No large (>10mEq · l -1) decreases in the Na+ level were observed in any of the patients undergoing HoLR-P or TUV-P. In patients undergoing TUR-P and HoLR-P, percent changes in serum Na+ level significantly correlated with those in blood hemoglobin level, but not with the resection time; the slopes were significantly larger than unity. Conclusions: The TUR syndrome is less likely to occur during HoLR-P or TUV-P. During TUR-P, the onset of severe hyponatremia appears to be unpredictable, and may not necessarily be accompanied by clinical symptoms. Frequent measurements of the serum Na+ level appear essential for early detection of severe hyponatremia.

元の言語英語
ページ(範囲)638-644
ページ数7
ジャーナルJapanese Journal of Anesthesiology
53
発行部数6
出版物ステータス出版済み - 6 1 2004

Fingerprint

Solid-State Lasers
Prostatic Hyperplasia
Hemoglobins
Hyponatremia
Prostate
Serum
Transurethral Resection of Prostate
Therapeutics
Cystostomy
Sorbitol

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

これを引用

Changes in serum Na+ and blood hemoglobin levels during three types of transurethral procedures for the treatment of benign prostatic hypertrophy. / Akata, Takashi; Yoshimura, Hayashi; Matsumae, Yuko; Shiokawa, Hiroaki; Fukumoto, Tomoko; Kandabashi, Tadashi; Yamaji, Taiki; Takahashi, Shosuke.

:: Japanese Journal of Anesthesiology, 巻 53, 番号 6, 01.06.2004, p. 638-644.

研究成果: ジャーナルへの寄稿記事

Akata, T, Yoshimura, H, Matsumae, Y, Shiokawa, H, Fukumoto, T, Kandabashi, T, Yamaji, T & Takahashi, S 2004, 'Changes in serum Na+ and blood hemoglobin levels during three types of transurethral procedures for the treatment of benign prostatic hypertrophy', Japanese Journal of Anesthesiology, 巻. 53, 番号 6, pp. 638-644.
Akata, Takashi ; Yoshimura, Hayashi ; Matsumae, Yuko ; Shiokawa, Hiroaki ; Fukumoto, Tomoko ; Kandabashi, Tadashi ; Yamaji, Taiki ; Takahashi, Shosuke. / Changes in serum Na+ and blood hemoglobin levels during three types of transurethral procedures for the treatment of benign prostatic hypertrophy. :: Japanese Journal of Anesthesiology. 2004 ; 巻 53, 番号 6. pp. 638-644.
@article{8c0cdeba91fa409dac421ad5552c962d,
title = "Changes in serum Na+ and blood hemoglobin levels during three types of transurethral procedures for the treatment of benign prostatic hypertrophy",
abstract = "Background: Transurethral holmium YAG laser resection of the prostate (HoLR-P) and transurethral electrovaporization of the prostate (TUV-P) have recently received increasing attention as an effective minimally invasive approach for the treatment of prostatic hypertrophy. However, less information is available regarding the intraoperative changes in the serum Na+ and blood hemoglobin levels during either HoLR-P or TUV-P. Methods: Intraoperative changes in serum Na+ and blood hemoglobin levels were investigated in 17 patients undergoing transurethral resection of the prostate (TUR-P, n = 7), HoLR-P (n = 7) or TUV-P (n = 3). The 3{\%} D-sorbitol solution was used as the irrigating fluid in all the patients. Results: In three patients, severe hyponatremia (118-123 mEq · l-1) developed abruptly (≤15 min) at various time points during TUR-P with (n = 1) or without (n=2) cystostomy. However, no clinical symptoms were observed after development of the hyponatremia in those awake patients. No large (>10mEq · l -1) decreases in the Na+ level were observed in any of the patients undergoing HoLR-P or TUV-P. In patients undergoing TUR-P and HoLR-P, percent changes in serum Na+ level significantly correlated with those in blood hemoglobin level, but not with the resection time; the slopes were significantly larger than unity. Conclusions: The TUR syndrome is less likely to occur during HoLR-P or TUV-P. During TUR-P, the onset of severe hyponatremia appears to be unpredictable, and may not necessarily be accompanied by clinical symptoms. Frequent measurements of the serum Na+ level appear essential for early detection of severe hyponatremia.",
author = "Takashi Akata and Hayashi Yoshimura and Yuko Matsumae and Hiroaki Shiokawa and Tomoko Fukumoto and Tadashi Kandabashi and Taiki Yamaji and Shosuke Takahashi",
year = "2004",
month = "6",
day = "1",
language = "English",
volume = "53",
pages = "638--644",
journal = "Japanese Journal of Anesthesiology",
issn = "0021-4892",
publisher = "Kokuseido Publishing Co. Ltd",
number = "6",

}

TY - JOUR

T1 - Changes in serum Na+ and blood hemoglobin levels during three types of transurethral procedures for the treatment of benign prostatic hypertrophy

AU - Akata, Takashi

AU - Yoshimura, Hayashi

AU - Matsumae, Yuko

AU - Shiokawa, Hiroaki

AU - Fukumoto, Tomoko

AU - Kandabashi, Tadashi

AU - Yamaji, Taiki

AU - Takahashi, Shosuke

PY - 2004/6/1

Y1 - 2004/6/1

N2 - Background: Transurethral holmium YAG laser resection of the prostate (HoLR-P) and transurethral electrovaporization of the prostate (TUV-P) have recently received increasing attention as an effective minimally invasive approach for the treatment of prostatic hypertrophy. However, less information is available regarding the intraoperative changes in the serum Na+ and blood hemoglobin levels during either HoLR-P or TUV-P. Methods: Intraoperative changes in serum Na+ and blood hemoglobin levels were investigated in 17 patients undergoing transurethral resection of the prostate (TUR-P, n = 7), HoLR-P (n = 7) or TUV-P (n = 3). The 3% D-sorbitol solution was used as the irrigating fluid in all the patients. Results: In three patients, severe hyponatremia (118-123 mEq · l-1) developed abruptly (≤15 min) at various time points during TUR-P with (n = 1) or without (n=2) cystostomy. However, no clinical symptoms were observed after development of the hyponatremia in those awake patients. No large (>10mEq · l -1) decreases in the Na+ level were observed in any of the patients undergoing HoLR-P or TUV-P. In patients undergoing TUR-P and HoLR-P, percent changes in serum Na+ level significantly correlated with those in blood hemoglobin level, but not with the resection time; the slopes were significantly larger than unity. Conclusions: The TUR syndrome is less likely to occur during HoLR-P or TUV-P. During TUR-P, the onset of severe hyponatremia appears to be unpredictable, and may not necessarily be accompanied by clinical symptoms. Frequent measurements of the serum Na+ level appear essential for early detection of severe hyponatremia.

AB - Background: Transurethral holmium YAG laser resection of the prostate (HoLR-P) and transurethral electrovaporization of the prostate (TUV-P) have recently received increasing attention as an effective minimally invasive approach for the treatment of prostatic hypertrophy. However, less information is available regarding the intraoperative changes in the serum Na+ and blood hemoglobin levels during either HoLR-P or TUV-P. Methods: Intraoperative changes in serum Na+ and blood hemoglobin levels were investigated in 17 patients undergoing transurethral resection of the prostate (TUR-P, n = 7), HoLR-P (n = 7) or TUV-P (n = 3). The 3% D-sorbitol solution was used as the irrigating fluid in all the patients. Results: In three patients, severe hyponatremia (118-123 mEq · l-1) developed abruptly (≤15 min) at various time points during TUR-P with (n = 1) or without (n=2) cystostomy. However, no clinical symptoms were observed after development of the hyponatremia in those awake patients. No large (>10mEq · l -1) decreases in the Na+ level were observed in any of the patients undergoing HoLR-P or TUV-P. In patients undergoing TUR-P and HoLR-P, percent changes in serum Na+ level significantly correlated with those in blood hemoglobin level, but not with the resection time; the slopes were significantly larger than unity. Conclusions: The TUR syndrome is less likely to occur during HoLR-P or TUV-P. During TUR-P, the onset of severe hyponatremia appears to be unpredictable, and may not necessarily be accompanied by clinical symptoms. Frequent measurements of the serum Na+ level appear essential for early detection of severe hyponatremia.

UR - http://www.scopus.com/inward/record.url?scp=3142514363&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=3142514363&partnerID=8YFLogxK

M3 - Article

C2 - 15242035

AN - SCOPUS:3142514363

VL - 53

SP - 638

EP - 644

JO - Japanese Journal of Anesthesiology

JF - Japanese Journal of Anesthesiology

SN - 0021-4892

IS - 6

ER -