Demineral Drinking Water As A Bladder Irrigation During TURP (Transurethral Resection Of The Prostate) On Serum Electrolyte Levels

Penggunaan Air Minum Demineral Sebagai Cairan Irigasi Buli Pada Tindakan TURP (Transurethral Resection Of Prostate) Terhadap Kadar Serum Elektrolit

Authors

  • Bekti Setiawan Jombang Regency General Hospital, Indonesia
  • Nurul Hidayah Sekolah Tinggi Ilmu Kesehatan Pemkab Jombang, Indonesia
  • Fakhri Surahmad Jombang Regency General Hospital, Indonesia

DOI:

https://doi.org/10.54832/phj.v8i1.1323

Keywords:

demineralized drinking water, irrigation, TURP

Abstract

Introduction: TURP procedure is recommended to treat symptoms of Benign Prostatic Hyperplasia (BPH) indicated for surgery. Irrigation method is the main factor in the success and evaluation of TURP syndrome. There is no ideal irrigation fluid or consensus result of the best irrigation fluid for TURP. Several irrigation materials have been developed related to effectiveness and cost considerations. Demineralized drinking water is an alternative for bladder irrigation of patients with TURP. The purpose of this study was to analyze the use of demineralized drinking water on serum electrolyte levels in patients before and after TURP. Methods:  Using the pre-experiment method with a pre-post-test one group design approach, samples were selected using a purposive sampling technique of 15 respondents, analysis using the Wilcoxon signed ranks test. Results: The results of the univariate analysis showed that almost all respondents received an irrigation volume of 20 liters (93.3%), most respondents were irrigated for 60 minutes (73.3%). The sig.(2-tailed) value of serum Sodium 1.00 > 0.05, Potassium 0.655 > 0.05, and Chloride 0.655 > 0.05, showed no significant difference in the average results of serum electrolyte examination between pre and post-test. Conclusions: There is no effect of using demineralized drinking water as a bladder irrigation fluid in TURP procedures on serum electrolyte levels in BPH patients. The results of this study provide a strong basis for considering the use of demineralized drinking water as an option in clinical practice for bladder irrigation in TURP procedures.

Downloads

Download data is not yet available.

References

Amu, O. C., Affusim, E. A., Nnadozie, U. U., & Nwachukwu, C. D. (2023). Outcome of Transurethral Resection of the Prostate (TURP) using 5% Dextrose Water as Irrigant. Nigerian Journal of Clinical Practice, 26(10), 1568–1574.

Hughes, T., Harper, P., & Somani, B. K. (2023). Treatment algorithm for management of benign prostatic obstruction: an overview of current techniques. Life, 13(10), 2077.

Kusnanto, K., Harmayetty, H., Rehatta, N. M., Alif, S., Haryanto, J., & Mustofa, S. (2007). Manfaat Irigasi Hangat Durante Operasi Terhadap Pencegahan Hipotermi Pasca Bedah Tur Prostat. Jurnal Ners, 2(1), 119856.

Meena, R., Maranna, H., Bains, L., Lal, P., & Sawant, G. (2020). Biochemical changes using sterile water and 1.5% glycine in TURP: A randomized study. MAMC Journal of Medical Sciences, 6(2), 81–89.

Moramarco, L., Grande, A. M., Vertemati, M., & Aseni, P. (2023). Prostate artery embolization in the treatment of massive intractable bleeding from prostatic neoplasms: A case report and systematic review. Journal of Clinical Medicine, 13(1), 65.

Novelty, R., Rofinda, Z. D., & Myh, E. (2019). Korelasi lama operasi dengan perubahan kadar natrium pasca operasi transurethral resection of the prostate di RSUP Dr. M. Djamil Padang. Jurnal Kesehatan Andalas, 8(1), 37–42.

Putri Agustin, S. (2020). Asuhan Keperawatan Pada Pasien Benign Prostatic Hyperplasia (Bph) Post Operasi Transurethral Resection Of Prostat (Tur-P) Dengan Masalah Nyeri Akut. Universitas Muhammadiyah Ponorogo.

Putri, M. Y. U. (2017). Perbedaan Pengaruh antara Methylprednisolone Intravena dan Progesteron Intramuskuler terhadap Fungsi Ereksi Setelah Operasi Transurethral Resection Of The Prostate (TUR-P) pada Pasien Benign Prostate Hyperplasia (BPH). UNS (Sebelas Maret University).

Rajab, M. A., Sjattar, E. L., Majid, A., & Risnah, R. (2020). Evaluasi Penatalaksanaan Irigasi Kandung Kemih Karena Retensi Bekuan Darah Pada Pasien Gangguan Perkemihan : Systematic Review. Jurnal Kesehatan, 13(2), 78. https://doi.org/10.24252/kesehatan.v13i2.16482

Rasyid, N., Putra, H. W. K., Birowo, P., Wahyudi, I., Mochtar, C. A., & Hamid, A. R. A. H. (2020). TUR-P phantom for resident surgical training: food-based design as a human mimicking model of the prostate. World Journal of Urology, 38, 2907–2914.

Rehatta, N. M., Alif, S., Haryanto, J., & Mustofa, S. (2007). Hipotermi Pasca Bedah Tur Prostat. 2(1).

Ridlo, M. N., Studi, P., Industri, T., Teknik, F., & Surakarta, U. M. (2019). Analisis Penerapan Hazard Analysis & Critical Control Point (Haccp) Pada Produk Air Minum Airmu Ums (Studi Kasus: Pt. Cahaya Bumi Intanpari, Karanganyar).

Subrata, S. A. (2015). Penyusunan Turp Syndrome Tool Assessment. 117–127.

Subrata, S. A., Istanti, Y. P., & Kesetyaningsih, T. W. (2018). Nursing assessment of TURP syndrome: a pilot study. International Journal of Urological Nursing, 12(1), 35–46.

Susanto, A., A, S. R. D., & Nahariani, P. (2014). Analisis Faktor yang Mempengaruhi Terjadinya Syndroma TURP pada Pasien BPH yang Dilakukan TURP di Kamar Operasi Emergency RSUD dr . Soedono Madiun ( Analysis Factor The Happening Of Syndroma TURP at Patient of BPH Conduced TUR Prostate In Operation Room o. Metabolisme.

Yang, C.-Y., Chen, G.-M., Wu, Y.-X., Zhang, W.-J., Wang, J., Chen, P.-P., & Lou, Z.-Y. (2023). Clinical efficacy and complications of transurethral resection of the prostate versus plasmakinetic enucleation of the prostate. European Journal of Medical Research, 28(1), 83.

Zuhirman, Z., Juananda, D., & Lestari, P. (2017). Gambaran komplikasi transurethral resection of the prostate pada pasien benign prostatic hyperplasia. Jurnal Ilmu Kedokteran (Journal of Medical Science), 10(1), 44–53.

Downloads

Published

2025-12-24

How to Cite

Bekti Setiawan, Hidayah, N., & Fakhri Surahmad. (2025). Demineral Drinking Water As A Bladder Irrigation During TURP (Transurethral Resection Of The Prostate) On Serum Electrolyte Levels: Penggunaan Air Minum Demineral Sebagai Cairan Irigasi Buli Pada Tindakan TURP (Transurethral Resection Of Prostate) Terhadap Kadar Serum Elektrolit. PROFESSIONAL HEALTH JOURNAL, 8(1), 68–74. https://doi.org/10.54832/phj.v8i1.1323

Issue

Section

Articles

Citation Check