Mental Status after Transurethral Resection of the Prostate

Blood Haemoglobin and the Long-Term Incidence of Acute Myocardial Infarction after Transurethral Resection of the Prostate

“…l previously found a transient impairment of mental status during TURP in patients with a moderate reduction of the B-Hb level [27], and this corroborates the view that a B-Hb in the low range has clinical implications in elderly men.…”

A comparison of the effect of 1.5% glycine and 5% glucose irrigants on plasma serum physiology and the incidence of transurethral resection syndrome during prostate resection

“…Nausea, vomiting and confusion occur six to nine times more often when 1–2 L of glycine solution is absorbed than when no absorption is detected [21]. Most patients with a transient deterioration in mental status after TURP have absorbed irrigant [22]. Consciousness appears to be lowered when even more glycine is absorbed [22,23], and this has also been associated with hyperammonaemia [12].…”

“…Most patients with a transient deterioration in mental status after TURP have absorbed irrigant [22]. Consciousness appears to be lowered when even more glycine is absorbed [22,23], and this has also been associated with hyperammonaemia [12].…”

Comparison of urological irrigating fluids containing glycine and mannitol in volunteers

“…Confusion is a frequent complication of TURP and is usually attributed to old age, cardiovascular disease, and chronic medication, but glycine absorption is also a contributing factor [15,16]. The plasma ammonia level may increase after glycine but not after mannitol administration [17] and, therefore, hyperammonemia is one mechanism that explains some cases of mental alterations after glycine absorption [18,19].…”