Angina pectoris -- an early sign of water intoxication during transurethral prostatectomy (author's transl)

Water intoxication from intravascular absorption of non-electrolyte irrigating fluid is a well-known and often serious complication of transurethral resection of the prostate. The amount of absorbed fluid depends on the duration of the operative procedure, the number of transected open venous sinuse...

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Bibliographic Details
Published inDer Anaesthesist Vol. 31; no. 5; p. 255
Main Authors Van Aken, H, Trauner, K, Lawin, P
Format Journal Article
LanguageGerman
Published Germany 01.05.1982
Subjects
Aged
Angina Pectoris - diagnosis
Angina Pectoris - etiology
Humans
Hydrostatic Pressure
Male
Prostatectomy - methods
Prostatic Hyperplasia - surgery
Therapeutic Irrigation - adverse effects
Urethra - surgery
Water Intoxication - complications
Water Intoxication - diagnosis
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Summary:Water intoxication from intravascular absorption of non-electrolyte irrigating fluid is a well-known and often serious complication of transurethral resection of the prostate. The amount of absorbed fluid depends on the duration of the operative procedure, the number of transected open venous sinuses and the hydrostatic pressure of the irrigating fluid. Arterial hypertension, bradycardia, mental agitation, confusion, headache, nausea, dyspnoea, convulsions and pulmonary edema are the typical syndromes. In this case, severe Angina Pectoris was the first alarming symptom.
ISSN:0003-2417