Agha Taj Muhammad, Altaf Ahmed Shaikh, Bikha Ram Devrajani, Zulfiquar Ali Shah, Thanwar Das, Doulat Singh.
Serum sodium level in transurethral resection of the prostate (TURP) (a cross sectional descriptive study at two hospitals).
Med Channel Jan ;16(2):318-20.

OBJECTIVE: To determine the serum sodium level in transurethral resection of the prostate (TURP) PATIENTS AND METHODS: This cross sectional type descriptive study was conducted at a private hospital Hyderabad and at tertiary care hospital attached with Ghulam Muhammad Maher Medical College, Sindh Pakistan from June 2009 to November 2009. All patients above 45-75 years of age present with history of urinary frequency, urgency, urgency incontinence, voiding at night, weak urinary stream, hesitancy, intermittency, through outdoor patient department (OPD) of the hospital, diagnosed as benign prostate hyperplasia (BPH) and planned for TURP were evaluated further for their serum sodium level preoperatively as well as postoperatively. The independent t test was applied at 95% confidence interval to compares the mean serum sodium level and the p values = 0.05 was considered as statistically significant. RESULT: Total 40 patients underwent for TURP with mean age 58.57 ± 8.72 (SD). The urinary frequency and urgency was observed in 32(80%) patients, urgency incontinence in 34 (85%) patients, voiding at night in 28(70%) patients, weak urinary stream in 15(38%) patients and hesitancy in 33(83%) patients. The hyponatremia was observed in 28(70%), preoperatively mean serum sodium was 140.7500±1.0561 where as postoperatively it was 128.9500± 8.7617 (p=<0.001). CONCLUSION: Our study identified the decrease in serum sodium level (hyponatremia) during transurethral resection of the prostate.

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