What is TURP syndrome?

Transurethral resection of prostate, rare intraop complication in relation to a large passage of hypotonic fluid into circulation, associates pt w/spinal anesthesia, visual disorders, headache, hypotension, bradycardia, and chest pain, these are related to volume overload and hyponatremia. Risk factors abundant are intraop bleeding and operation takes >90 mins, tx of TURP depends on natermia Moderate hyponatremia (>120) : water restriction and diuretics Severe hyponatremia : hypertonic saline w/slow perfusion but has a risk for central pontine myelinolysis.