RESUMEN
0.05).Morphology showed slight dilation of the vessels in the superficial part of lamina propria in the 100 ?mol/L capsaicin group.In the group treated with 2 mmol/L capsaicin,erosion of the mucosa,edema and capillary distention in the lamina propria were seen as well as focal damage to the superficial muscle near the lamina propria.This led to hematuria in the early stage.The mucosal changes started to heal after 1 week and returned to normal after 8 weeks.Conclusions In rats,intravesical capsaicin instillation at a dose of 100 ?mol/L appears to be a safe method of treatment.High doses of capsaicin may result in some reversible damages of the mucosa and inflammatory changes of the bladder.
RESUMEN
Objective To summarize the causes, diagnosis and treatment of transurethral resection syndrome (TURS) during the transurethral vaporization of the prostate (TUVP). Methods Among 322 consecutive patients who underwent TUVP, TURS happened in 27 patients (8.4%). Their clinical data on the operation, monitoring and treatment were retrospectively reviewed. Results Of the 27 patients, the mean operative time was 95 min (52~170 min), the mean blood loss was 251 ml (100~700 ml), and the mean weight of resected prostate was 36.1 g (16~82 g). During the operation the prostatic capsule was perforated in 21 patients (78%). Postoperatively, all the patients had yawning, hypotension and bradycardia. Their serum sodium concentrations during TURS were 122.3?9.6 mmol/L, which was 16.3?4.5 mmol/L lower than before the operation, with significant difference ( t=)14.211,P90 min). Close attention and assessment of the patient’s) vital signs and mental status can increase the early detection and treatment of TURS.
RESUMEN
15 ml/s). Conclusions Combined use of mini-incision open cystolithotomy and TURP can be the first choice for the management of BPH complicated with large or multiple bladder stones.