This course gives you a practical, case-focused guide to managing patients undergoing TURP, with a special emphasis on recognizing and preventing TURP syndrome in a typically high-risk, elderly population. You’ll review the pathophysiology and clinical presentation of dilutional hyponatremia, CNS changes, and cardiovascular instability from irrigant absorption, compare spinal versus general anesthesia with real-world pros and cons for safety and monitoring, and walk through fluid and hemodynamic management strategies to reduce complications. By the end, you’ll be more confident tailoring your anesthetic plan, spotting early warning signs, and intervening quickly to protect your patients during and after TURP.