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TUR syndrome

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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The TUR syndrome is an uncommon complication of transurethral surgery attributed to the absorption of irrigating fluid during the operation and in the immediate postoperative period.

Features include:

  • confusion
  • hypotension
  • bradycardia
  • nausea and vomiting
  • collapse

Investigations reveal:

  • hyponatraemia
  • hypovolaemia
  • sometimes, hyperammonaemia due to metabolism of absorbed glycine

Management:

  • discontinue irrigation
  • diuretics
  • normal or twice normal saline
  • seek senior advice

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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