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Why do you need to pay attention to these subtle central nervous system changes after TURP surgery?
In today's medical treatment, transurethral resection of the prostate (TURP) is still one of the common surgeries for the treatment of prostate enlargement. However, the surgery, while well-known, carries the potential for some rare but potentially dangerous complications. Among them, TURP syndrome is an issue that medical professionals must pay special attention to. Its impact is not limited to the patient's physical health, but may also cause changes in the central nervous system, thereby affecting the patient's overall condition.
TURP syndrome causes and symptoms
TURP syndrome often occurs due to absorption of the irrigation fluid used during surgery. This absorption process may result in electrolyte imbalance and hyponatremia, and the effects of these changes on the central nervous system may be dangerous. Common symptoms include:
Restlessness, headache, nausea and vomiting, confusion, visual impairment, cerebral edema, convulsions and coma, etc.
Symptoms are often vague and nonspecific, and medical professionals must remain vigilant at all times to recognize signs of TURP syndrome in patients following TURP surgery.
Changes in the Central Nervous System
After TURP surgery, changes in the central nervous system may lead to a range of health problems. Among them, xiphoid cerebral edema and hyponatremia are two major influencing factors.
Hyponatremia can cause changes in the osmotic pressure of the fluid in the brain, further causing brain edema. In severe cases, this condition can lead to coma or even life-threatening.
Especially when the sodium concentration drops below 120mMol/L, the situation is particularly serious. Medical staff need to pay special attention to these patients and take immediate measures if corresponding symptoms are found.
How to prevent TURP syndrome?
Prevention is the best way to reduce your risk of TURP syndrome. The following aspects should be considered before surgery:
- Choose an appropriate anesthesia method. Local anesthesia can detect patient changes earlier than general anesthesia.
- Choose irrigation fluid appropriately and avoid using high-risk solutions such as glycine.
- Shorten the surgery time and try to complete it within one hour to reduce the risk of fluid absorption.
- The patient should be positioned horizontally during surgery to avoid excessive fluid absorption.
Strategies for managing TURP syndrome
Once TURP syndrome is confirmed in a patient, management is usually supportive and the patient's condition needs to be closely monitored. Among these treatments are:
SummaryOxygen support, cardiovascular support, correction of hyponatremia, and management of symptom severity, such as use of antiemetics and anticonvulsants.
Therefore, it is critical for patients undergoing TURP and the medical team performing the surgery to understand and recognize subtle changes in the central nervous system. Just as every detail of the surgery may affect the patient's recovery process, if not paid attention to, TURP syndrome will become a potential threat that weighs on the mind. As you think about the health of those around you, have you ever considered these key factors after surgery and thought about how to further improve the safety of yourself and others?
