TUR(S) be or not TUR(S) be: Iatrogenic fluid overload following Holmium Laser Excision of Prostate (HoLEP)
Transurethral resection syndrome (TURS) is a well-recognised serious complication of transurethral resection of prostate (TURP) and other percutaneous procedures utilising large volumes of irrigation fluid, such as resection of bladder tumours.
Holmium laser excision of prostate (HoLEP) is increasingly the method of choice for surgical management of benign prostatic hyperplasia (BPH) due to equivalent or superior surgical outcomes compared to transurethral resection of prostate with fewer surgical complications.(1)
In a large meta-analysis of transurethral procedures for BPH, compared to TURP there were no documented cases of TUR syndrome associate with HoLEP. (2)