Metabolic acidosis with hemodilution due to massive absorption of normal saline as bladder irrigation fluid following holmium laser enucleation of prostate

Sarah E. Dodd, Christopher J. Jankowski, Amy Krambeck, Bhargavi Gali

Research output: Contribution to journalArticle

1 Scopus citations


Holmium laser enucleation of prostate (HoLEP) is being performed with increasing frequency as a minimally invasive alternative to transurethral resection of the prostate (TURP) for the surgical management of benign prostatic hyperplasia (BPH). HoLEP offers the advantage of use of normal saline for irrigation, instead of glycine which is utilized in TURP, decreasing the likelihood of fluid absorption and effects on serum electrolytes. We describe a patient who underwent HoLEP for BPH and subsequently developed non-ion gap metabolic acidosis and hemodilution associated with volume overload.

Original languageEnglish (US)
Pages (from-to)1-3
Number of pages3
JournalJournal of Anesthesia
StateAccepted/In press - Oct 6 2016
Externally publishedYes



  • CBI
  • Fluid overload
  • HoLEP
  • TURP

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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