• European urology · Aug 1999

    No evidence of fluid absorption during continuous low-pressure transurethral resection of the prostate: assessment by measuring expiratory breath ethanol concentrations.

    • F Aragona, N Panza, A Mangano, E Castellucci, and A Capizzi.
    • Department of Urology, University of Padua, Italy. isturopd@uxl.unopd.it
    • Eur. Urol. 1999 Aug 1; 36 (2): 103-6.

    ObjectiveMeasurement of the ethanol concentration in expired breath during transurethral resection of the prostate (TURP).MethodsTURP is a noninvasive method to estimate the amount of irrigant absorbed. The expiratory breath ethanol concentrations (EBEC) were measured with a standard alcohol breath analyzer in 35 patients in the course of TURP. All interventions were performed with a 27-french continuous flow resectoscope using a solution of 1. 5% glycine + 1% ethanol as irrigating fluid. Serum sodium and osmolality were measured pre- and postoperatively. No patient developed signs of transurethral resection syndrome; no significant changes in serum sodium, osmolality and EBEC were found throughout the operation.ConclusionAbsorption of irrigant fluid during TURP with continuous low-pressure irrigation seems to be extremely slight (if not absent) as measured by expired breath ethanol method.

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