Volumetric Overload Shocks in the Patho-Etiology of the Transurethral Resection of the Prostate (TURP) Syndrome and Acute Dilution Hyponatraemia: The Clinical Evidence Based on Prospective Clinical Study of 100 Consecutive TURP Patients

The transurethral resection of the prostate (TURP) syndrome is a severe vascular hypotension reaction that complicates endoscopic surgery as a result of massive irrigating fluid absorption causing a drop of serum sodium concentration of >15mmol/l inducing severe acute dilution hyponatraemia (HN) of <120mmol/l [1]. Volumetric Overload Shock (VOS) is a condition caused by massive fluid infusions and is of two types; Type one (VOS1) and Type two (VOS2). VOS1 is induced by sodium-free fluid gain such as 1.5% Glycine used as irrigating fluid during endoscopic surgery such as the transurethral resection of the prostate (TURP) [2,3]. It Salma A Ghanem1, Khalid A Ghanem2 and Ahmed N Ghanem3* 1Royal London Hospital, London 2Mansoura University Hospital, Egypt 3Department of Urology, Egypt