Sorbitol-Mannitol Solution for Urological Electrosurgical Resection &amp;ndash; A Safer Fluid than Glycine 1.5&amp;percnt;

Dawkins, G.P.C.; Miller, Ronald

doi:10.1159/000067978

Cited by 20 publications

(11 citation statements)

References 21 publications

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“…8 In spite of multiple developments in this method since its development by Nesbit in 1943, there are many morbidities of this treatment. 7 For this reason, recently, many less-invasive procedures have been designed as alternatives.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Transurethral Vaporization Using PlasmaKinetic™ Energy and Transurethral Resection of Prostate: 1-Year Follow-Up

Karaman

Kaya

Öztürk

et al. 2005

Journal of Endourology

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Because of the short operating time, smaller blood loss, shorter period of irrigation and catheterization, use of isotonic fluid, and absence of electrical current, PKVP is safe and advantageous. Although these early results have shown that this technique may be a good alternative among the minimally invasive methods for the surgical management of BPH, further studies with longer-term results are essential.

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Section: Discussionmentioning

confidence: 99%

“…Glycine absorbed in this way is thought to be responsible for the TUR syndrome. 8 The bipolar technology operates using saline as irrigating fluid rather than glycine, thus precluding this complication.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Transurethral Vaporization Using PlasmaKinetic™ Energy and Transurethral Resection of Prostate: 1-Year Follow-Up

Karaman

Kaya

Öztürk

et al. 2005

Journal of Endourology

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“…Glycine irrigants, as commonly used, are widely considered to be the main cause of the TURP syndrome. 10 With Gyrus, saline solution avoids this syndrome.…”

Section: Prostate Electrovaporization With Gyrus 315mentioning

confidence: 99%

Electrovaporization of the Prostate with the Gyrus Device

Botto

Lebrét

Barré

et al. 2001

Journal of Endourology

125

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Our preliminary results with a bipolar electrode for electrovaporization of the prostate using the Gyrus suggest that it is a useful and safe endoscopic device. It appears to be an effective treatment for BPH; however, long-term results (i.e., 1-year follow-up) should be evaluated. This pilot series permits a comparative study with TURP to assess the benefits for patients and the health care system.

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“…Although Moskovitz et al showed small changes in serum sodium even when distilled water used as irrigating fluid [6], for safety purposes the manitol-sorbitol solution is used over 20 years in USA and over 10 years in Europe with better results even than glycine [7]. Glycine is also used as an irrigating fluid as safer against water of injection, because of its osmolality.…”

Section: Discussionmentioning

confidence: 99%

Changes in serum sodium concentration after transurethral procedures

Georgiadou¹,

Vasilakakis

Meitanidou³

et al. 2007

Int Urol Nephrol

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The aim of this study is to evaluate the changes in serum sodium concentration and the degree of correlation with factors such as the amount of intravenous fluid intake, the kind and the amount of irrigating fluids and the duration of the procedure. In this framework, 98 male patients who underwent transurethral procedure were studied and the correlation between the magnitude of hyponatraemia and the above-mentioned parameters was evaluated. All procedures were performed under spinal anesthesia and a solution of either manitol-sorbitol or sterilized water was used as irrigation fluid. Serum sodium concentration was measured before and after the procedure, while the kind and amount of the irrigating fluids, the amount of fluid intake and the duration of the procedure were also recorded. The patients were divided into three groups according to the duration of the procedure (i) <30 min, (ii) 30-60 min, and (iii) >60 min. Significant reduction in serum sodium concentration was found postoperatively (P < 0.001) and this was more profound in procedures longer than 1 h. This reduction was strongly correlated only with the duration of the transurethral procedure (P < 0.01). In conclusion, in transurethral procedures the reduction in serum sodium is postoperatively related to the duration of the procedure, while the intravenous and irrigating fluids to play no role on it.

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Sorbitol-Mannitol Solution for Urological Electrosurgical Resection – A Safer Fluid than Glycine 1.5&percnt;

Cited by 20 publications

References 21 publications

Comparison of Transurethral Vaporization Using PlasmaKinetic™ Energy and Transurethral Resection of Prostate: 1-Year Follow-Up

Comparison of Transurethral Vaporization Using PlasmaKinetic™ Energy and Transurethral Resection of Prostate: 1-Year Follow-Up

Electrovaporization of the Prostate with the Gyrus Device

Changes in serum sodium concentration after transurethral procedures

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