PMID: 3756410Aug 1, 1986Paper

Metabolic consequences of forced diuresis following prostatectomy

British Journal of Urology
P R MaloneR J Shearer

Abstract

The efficacy and metabolic consequences of a standardised forced diuresis regime following prostatectomy were studied in three parts. A retrospective review of 372 patients. A detailed prospective study of blood and urine electrolyte changes in 25 patients. A prospective study of urinary oxalate levels in 15 patients. The regime was effective in safely preventing post-operative clot retention. In 54% of patients the plasma sodium fell below 135 mmol/l. Hypokalaemia was mild and transient except in patients on long-term diuretics. There was a significant per-operative fall in serum calcium levels. It was concluded that forced diuresis is a safe and effective method of reducing clot retention following prostatectomy. The high incidence of post-operative hyponatraemia suggests that absorption of glycine solution at transurethral prostatectomy is a common occurrence.

References

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Citations

Jan 1, 1997·International Urology and Nephrology·R G Hahn
Oct 14, 2009·Journal of Endourology·Amr HawaryIan Pearce
Oct 1, 1991·Acta Anaesthesiologica Scandinavica·R G Hahn
Jul 1, 1990·British Journal of Urology·A N Ghanem, J P Ward
Sep 1, 1989·British Journal of Urology·R G Hahn
Aug 1, 1987·British Journal of Urology·P N Rao
Nov 1, 1994·The Journal of the American Association of Gynecologic Laparoscopists·G J Shirk, J Kaigh
Jun 23, 2009·Journal of Korean Medical Science·Guie Yong LeeHyun Joo Heo

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