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TUR syndrome

Authoring team

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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