Irrigation fluid absorption syndrome during HoLEP: A case study

Abstract

The classical transurethral resection syndrome as described with monopolar prostate resection has become rare since the switch to bipolar resection and even more so since the introduction of HoLEP. We report a case of a 74-year-old male patient who presented with an irrigation fluid absorption syndrome during a HoLEP for benign prostate hypertrophy. Biochemically this presented as metabolic acidosis and hyperchloremia instead of hyponatremia. He was treated with diuretics and had a swift recovery.

Keywords

• HoLEP
• TUR syndrome
• Irrigation fluid absorption
• Benign prostate hypertrophy
• Metabolic acidosis
• Hyperchloremia