The Relationship of TURP to Sodium Levels in Patients with Benign Prostatic Hyperplasia at RSI Jemursari, 2022 - 2023
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Abstract
Transurethral resection of the prostate (TURP) is a surgical procedure that is the gold standard in treating moderate to severe cases of BPH. Although TURP has been reported as an effective surgical procedure, there are several medical risks that may arise due to TURP procedures. The use of fluid irrigation, a key characteristic of the TURP, can lead to an acute decrease in serum sodium (Na) levels. The conditions of hyponatremia and low plasma osmolarity are directly correlated with the risk of intravascular hemolysis due to increased serum potassium, which then causes hyperkalemia and acidosis. This study aims to examine the serum sodium levels in Benign Prostatic Hyperplasia (BPH) patients undergoing the TURP procedure. This research data is secondary data obtained from medical records at RSI Jemursari in 2022 - 2023. This research was analyzed using a descriptive analytical method to provide an overview of serum sodium levels in BPH patients undergoing the TURP procedure. The results from 20 study samples indicated that the average value of Na levels before TURP was 136.96 mmol/L, while the sodium levels after TURP was 138.02 mmol/L. It was concluded that there was no relationship or difference in sodium levels before and after TURP (p=0.501; 95% CI -4.307 – 2.179).
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References
Adelia, F., Monoarfa, A., & Wagiu, A. (2017). Gambaran Benigna Prostat Hiperplasia di RSUP Prof. Dr. R. D. Kandou Manado Periode Januari 2014 – Juli 2017. E-CliniC, 5(2), 2014–2016. https://doi.org/10.35790/ecl.5.2.2017.18538
Devlin, C. M., Simms, M. S., & Maitland, N. J. (2021). Benign prostatic hyperplasia – what do we know? In BJU International (Vol. 127, Issue 4). https://doi.org/10.1111/bju.15229
Gamit, B., & Thakkar, N. B. (2020). Role of preoperative assessment of serum sodium in transurethral resection of prostate to avoid transurethral resection of prostate syndrome: a comparative study. International Surgery Journal, 7(8). https://doi.org/10.18203/2349-2902.isj20203246
Hawary, A., Mukhtar, K., Sinclair, A., & Pearce, I. (2009). Transurethral resection of the prostate syndrome: Almost gone but not forgotten. In Journal of Endourology (Vol. 23, Issue 12). https://doi.org/10.1089/end.2009.0129
Koudonas, A., Anastasiadis, A., Tsiakaras, S., Langas, G., Savvides, E., Mykoniatis, I., Memmos, D., Baniotis, P., Vakalopoulos, I., de la Rosette, J., & Dimitriadis, G. (2023). Overview of current pharmacotherapeutic options in benign prostatic hyperplasia. In Expert Opinion on Pharmacotherapy (Vol. 24, Issue 14). https://doi.org/10.1080/14656566.2023.2237406
Krisna, D. M., & Maulana, A. (2018). Incidence of Electrolyte Disturbance after TURP Procedure. Cdk-266, 45(7), 495–498. http://www.cdkjournal.com/index.php/CDK/article/view/639
Mallhi, T. H., Ijaz, E., Butt, M. H., Khan, Y. H., Shah, S., Rehman, K., Salman, M., Ullah, F., Raja, A. A., Khan, A., & Khan, T. M. (2023). Benign Prostatic Hyperplasia. In Handbook of Medical and Health Sciences in Developing Countries (pp. 1–19). Springer International Publishing. https://doi.org/10.1007/978-3-030-74786-2_87-1
Moharari, R. S., Khajavi, M. R., Khademhosseini, P., Hosseini, S. R., & Najafi, A. (2008). Sterile water as an irrigating fluid for transurethral resection of the prostate: Anesthetical view of the records of 1600 cases. Southern Medical Journal, 101(4). https://doi.org/10.1097/SMJ.0b013e318167ddae
Novelty, R., Rofinda, Z. D., & Myh, E. (2019). KORELASI LAMA OPERASI DENGAN PERUBAHAN KADAR NATRIUM PASCA OPERASI TRANSURETHRAL RESECTION OF THE PROSTATE DI RSUP DR. M. DJAMIL PADANG. Jurnal Kesehatan Andalas, 8(1). https://doi.org/10.25077/jka.v8i1.968
Shvero, A., Calio, B., Humphreys, M. R., & Das, A. K. (2021). HoLEP: the new gold standard for surgical treatment of benign prostatic hyperplasia. In The Canadian journal of urology (Vol. 28, Issue S2).
Wang, J. W., & Man, L. B. (2020). Transurethral resection of the prostate stricture management. In Asian Journal of Andrology (Vol. 22, Issue 2). https://doi.org/10.4103/aja.aja_126_19

