Comparison between normal saline and Ringer's acetate in bipolar transurethral resection of the prostate. (4th July 2017)

• Record Type: Journal Article
• Authors: Ahmed, Ehab; Ingvar, Jacob; Nyman, Claes R.; Norming, Ulf; Andersson, Emma; Hahn, Robert G.; Fagerström, Tim
• Is Part Of: Scandinavian journal of urology. Volume 51:Number 4(2017)
• Page Start: 319
• Page End: 322
• Publication Date: 2017-07-04
• Subjects: Bipolar TURP -- irrigation fluid -- Ringer's acetate; Urology -- Periodicals; 616.6
• DOI: 10.1080/21681805.2017.1313308
• Languages: English
• ISSNs: 2168-1805

Abstract

Abstract: Objective: The standard surgical treatment for benign prostatic hypertrophy (BPH) is transurethral resection of the prostate (TURP). The aim of this study was to compare normal saline (NS) (0.9% sodium chloride) and Ringer's acetate (RA) as irrigation fluid with regard to visibility, resection feasibility, coagulation and bleeding in bipolar TURP. Materials and methods: Twenty patients (mean age 70 years) who were diagnosed with BPH were recruited to the study. The first three 3 liter bags of irrigation fluid contained either NS or RA and were administered in a randomized fashion. The surgeon assessed visibility, bleeding, coagulation, resection efficacy and overall outcome after each 3 liter bag on a scale of 1–10. Results: The results disclosed only marginal differences between the two fluids with regard to the recorded parameters. All of the differences lacked statistical significance ( p > .05). Conclusion: RA can be used as an irrigation fluid in bipolar TURP with no obvious difference in comparison with NS.