Top

Published in:

01-12-2016 | Clinical Report

Metabolic acidosis with hemodilution due to massive absorption of normal saline as bladder irrigation fluid following holmium laser enucleation of prostate

Authors: Sarah E. Dodd, Christopher J. Jankowski, Amy E. Krambeck, Bhargavi Gali

Published in: Journal of Anesthesia | Issue 6/2016

Abstract

Holmium laser enucleation of prostate (HoLEP) is being performed with increasing frequency as a minimally invasive alternative to transurethral resection of the prostate (TURP) for the surgical management of benign prostatic hyperplasia (BPH). HoLEP offers the advantage of use of normal saline for irrigation, instead of glycine which is utilized in TURP, decreasing the likelihood of fluid absorption and effects on serum electrolytes. We describe a patient who underwent HoLEP for BPH and subsequently developed non-ion gap metabolic acidosis and hemodilution associated with volume overload.

Seki N, Tatsugami K, Naito S. Holmium laser enucleation of the prostate: comparison of outcomes according to prostate size in 97 Japanese patients. J Endourol. 2007;21:192–6.CrossRefPubMed

Bapat SA, Mishra GC. Stem cell pharmacogenomics. Curr Top Med Chem. 2004;4:1371–83.CrossRefPubMed

Shah HN, Kausik V, Hegde S, Shah JN, Bansal MB. Evaluation of fluid absorption during holmium laser enucleation of prostate by breath ethanol technique. J Urol. 2006;175:537–40.CrossRefPubMed

Aho TF. Holmium laser enucleation of the prostate: a paradigm shift in benign prostatic hyperplasia surgery. Ther Adv Urol. 2013;5:245–53.CrossRefPubMedPubMedCentral

Michalak J, Tzou D, Funk J. HoLEP: the gold standard for the surgical management of BPH in the 21(st) century. Am J Clin Exp Urol. 2015;3:36–42.PubMedPubMedCentral

Hermanns T, Fankhauser CD, Hefermehl LJ, Kranzbuhler B, Wong LM, Capol JC, Zimmermann M, Sulser T, Muller A. Prospective evaluation of irrigation fluid absorption during pure transurethral bipolar plasma vaporisation of the prostate using expired-breath ethanol measurements. BJU Int. 2013;112:647–54.CrossRefPubMed

Hermanns T, Grossmann NC, Wettstein MS, Fankhauser CD, Capol JC, Poyet C, Hefermehl LJ, Zimmermann M, Sulser T, Muller A. Absorption of irrigation fluid occurs frequently during high power 532 nm laser vaporization of the prostate. J Urol. 2015;193:211–6.CrossRefPubMed

Title: Metabolic acidosis with hemodilution due to massive absorption of normal saline as bladder irrigation fluid following holmium laser enucleation of prostate
Authors: Sarah E. Dodd
Christopher J. Jankowski
Amy E. Krambeck
Bhargavi Gali
Publication date: 01-12-2016
Publisher: Springer Japan
Published in: Journal of Anesthesia / Issue 6/2016
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI: https://doi.org/10.1007/s00540-016-2256-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Metabolic acidosis with hemodilution due to massive absorption of normal saline as bladder irrigation fluid following holmium laser enucleation of prostate

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2016

Remifentanil for labor analgesia: a comprehensive review

Possible association between successful intubation via the right nostril and anatomical variations of the nasopharynx during nasotracheal intubation: a multiplanar imaging study

Biphasic cuirass ventilation for treatment of an air leak after pneumothorax in a patient with nemaline myopathy: a case report

Beta-blockers in vascular surgery patients: is the debate still going on?

Effect of lidocaine with and without epinephrine on lymphatic contractile activity in mice in vivo

Prolonged drug-induced myoclonus: is it related to palonosetron?