Most common complication of TURP
**Core Concept**
The Transurethral Resection of the Prostate (TURP) syndrome is a collection of clinical manifestations that occur due to the absorption of irrigation fluid during the procedure. This can lead to a range of complications, including fluid overload, electrolyte imbalances, and cardiac instability.
**Why the Correct Answer is Right**
The most common complication of TURP is indeed the TURP syndrome. This occurs when the irrigation fluid, typically a glycine or sorbitol solution, is absorbed into the bloodstream. As the fluid is absorbed, it can lead to an increase in blood volume, resulting in fluid overload and potentially life-threatening complications such as cardiac tamponade or pulmonary edema. The absorption of the irrigation fluid can also lead to electrolyte imbalances, particularly hypokalemia and hyponatremia.
**Why Each Wrong Option is Incorrect**
**Option A:** Hemorrhage is a potential complication of TURP, but it is not the most common complication. Hemorrhage can occur due to the resection of the prostate tissue, but it is typically managed with transfusion and/or compression.
**Option B:** Electrolyte imbalance is a component of the TURP syndrome, but it is not the most common complication. Electrolyte imbalances can occur due to the absorption of the irrigation fluid, but they are often managed with fluid and electrolyte replacement.
**Option C:** Infection is a potential complication of TURP, but it is not the most common complication. Infection can occur due to the introduction of bacteria during the procedure, but it is typically managed with antibiotics.
**Clinical Pearl / High-Yield Fact**
The TURP syndrome is often referred to as "the great imposter" because it can present with a range of symptoms that are often attributed to other conditions, such as heart failure or respiratory distress.
**Correct Answer: C. Infection is not the correct answer, however, in this case, TURP syndrome is the most common complication. Correct Answer: D. TURP syndrome.**