Multiorgan involvement and residual effects in transurethral resection of prostate syndrome: A case report and literature review.

A 71-year-old man with bothersome lower urinary tract symptoms from an enlarged prostate underwent monopolar transurethral resection of the prostate (TURP). Following the 75-min procedure, he developed hypertension, pallor, and shivering. Laboratory tests demonstrated hyponatremia, anemia, thrombocytopenia, leukocytosis, and acute liver and kidney injury. Prompt recognition and management of electrolyte and organ involvement led to rapid improvement. However, unique to this case, mild anemia and elevated creatinine remained for years. This case and review emphasize the need to anticipate multiorgan involvement, including hepatic and renal impairment, as well as potential residual effects, in patients with TURP syndrome.