Volume 34 Number 2 (2025)

Gynaecological Transurethral Resection Syndrome in a Young Lady under General Anesthesia: A Case Report

Majumder A1 , Hossain MS2 , Maoya MM3 , Sadiya N4 , Momo NF5 , Rafi AR6 , Hasan MZ7 , Haque ME8

Mymensingh Med J 2025 Apr; 34 (2): 584-587

PMID: 40160082

Abstract

The Transurethral resection of the prostate (TURP) is an endoscopic resection procedure, commonly done for the treatment of enlargement of prostate. Here electrolyte free glycine solution is used as irrigation solution. A rare but critical syndrome may occur due to absorption of irrigation solution called TURP syndrome. Hysteroscopic resection procedures are performed using the same principles of TURP. And TURP syndrome like similar phenomenon can occur which is termed as gynaecological TUR syndrome. The management of this syndrome involves surgeon, anesthetist, neurologist and other disciplines. Here we report a case of a 25 years old lady who developed acute symptomatic hyponatremia secondary to hysteroscopic procedure under general anesthesia and rapidly approached with multidisciplinary team.

Keywords: Hysteroscopy, TUR syndrome, Glycine, Hyponatremia, Oxygen saturation


  1. egistrar

    Department of Urology, Evercare Hospital Dhaka, Dhaka, Bangladesh

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Volume 34, Number 2 (2025)
Page: 584-587