Sterile Water as an Irrigating Fluid for Transurethral Resection of the Prostate: Anesthetical View of the Records of 1600 Cases

Abstract

Sterile water has been shown to be a safe irrigating fluid for TURP.

Implementing AORN Recommended Practices for Minimally Invasive Surgery: Part I

“…19 Normal saline or lactated Ringer solutions, which are isotonic electrolyte fluids, are the media of choice in gynecologic procedures and hysteroscopies when bipolar energy is used 20 because bipolar resection devices need an electrolyte solution to conduct electrical flow. 22 However, when glycine is used as an irrigating or distention media, TUR syndrome may occur. 21 During the use of monopolar energy, fluids used as distention media should be low viscosity without electrolytes (eg, glycine 1.5%, sorbitol 3%, mannitol 5%).…”

The use of distilled water in the achievement of local hemostasis during surgery

“…Intra-vesicular pressure above 30 mmHg and increasing resection time have been proposed to increase the absorption of fluid [12, 13]. Averagely, 15 l of irrigation fluid is used during a 60-min-lasting TURP procedure [14, 15]. Still, severe changes in blood values after TURP with distilled water were rarely reported and it has been shown to be a safe irrigating fluid for TURP [15].…”

“…Averagely, 15 l of irrigation fluid is used during a 60-min-lasting TURP procedure [14, 15]. Still, severe changes in blood values after TURP with distilled water were rarely reported and it has been shown to be a safe irrigating fluid for TURP [15]. …”

A Comparative Study of ‘Sterile Water’ Versus ‘Glycine (1.5%)’ As Irrigation Fluid in Transurethral Resection of Prostate

“…In current study, perioperative changes in mean blood urea and creatinine levels were found to be similar with both the irrigation fluids. Studies on sterile water by Moharari et al [16] and Menon et al [17] had shown no significant change in these variables after TURP procedure. Our study data showed that mean serum sodium concentration was significantly reduced in the immediate postoperative period in both the groups.…”

“…Moharari et al [16] and Menon et al [17] have reported statistically insignificant changes in haematocrit and free plasma haemoglobin levels respectively, in TURP with sterile water used as irrigation fluid. We were aware that intravascular hemolysis is not usually associated with TURP syndrome and haemoglobin level may not precisely reflect the degree of fluid absorption, as massive volume absorption can trigger hemolysis as well as haemo-dilution.…”