Rational of Blood Test Post Transurethral Resection of Prostate

Abstract

Introduction

Benign enlargement of prostate is a disease of old aged men. Mono polar transurethral resection of prostate (TURP) is the gold standard in the surgical management of prostate disease. There is no recommendations from major urological associations about the    postoperative blood tests ie serum sodium, potassium and hemoglobin(Hb) level in patients undergoing TURP, although its routinely performed in many hospitals .The aim of the present study was to find the importance and implications of such tests.

Materials and Methods

It was an observational, cross sectional study conducted at the surgery department of Lumbini Medical College,Palpa. A total of 62 patients were taken into study and their pre and postoperative levels of Hb, serum sodium and potassium were studied. The data collected was evaluated for the changes in serum electrolytes, hemoglobin levels along with the need of blood transfusion and TUR syndrome.

Results

Of the 62 patients, mean age was 67.73 years (Range: 57.15-78.3yrs). Mean drop of sodium was 3.319(SD=2.59) mmol/l, which was statistically significant. (P value= 0.001). The mean drop of potassium was 0.39mmol/l (SD=0.31) which was statistically significant (p value=0.0001). The mean drop of Hb was 1.01gm%. (P value=0.0001) Though all values were statistically significant but clinically it was not significant. None of the patients developed TUR syndrome. Blood transfusion was not required in a single patient.

Conclusion

Routine blood test ie Hb, Sodium and potassium post M-TURP may not be required except in few special circumstances

Keywords

Benign prostatic hyperplasia, Creatinine, Hemoglobin, Transurethral resection of Prostate,