1042 Transvesical blockade of obturator nerve to prevent adductor muscle contraction during transurethral resection of bladder tumor

2012 ◽  
Vol 11 (1) ◽  
pp. e1042-e1042a
Author(s):  
M.H. Khorrami ◽  
F. Farahini ◽  
M.H. Izadpanahi ◽  
M. Zargham ◽  
M. Mohammadi ◽  
...  
Keyword(s):  
Muscle Contraction ◽  
Transurethral Resection ◽  
Bladder Tumor ◽  
Adductor Muscle ◽  
Obturator Nerve

scholarly journals Effectiveness of spinal anesthesia combined with obturator nerve blockade in preventing adductor muscle contraction during transurethral resection of bladder tumor

2017 ◽  
Vol 43 (4) ◽  
pp. 507-511 ◽  
Author(s):  
Cyrus Emir Alavi ◽  
Seyed Alaeddin Asgari ◽  
Siavash Falahatkar ◽  
Siamak Rimaz ◽  
Mohammadreza Naghipour ◽  
...  
Keyword(s):  
Muscle Contraction ◽  
Spinal Anesthesia ◽  
Transurethral Resection ◽  
Bladder Tumor ◽  
Adductor Muscle ◽  
Obturator Nerve ◽  
Nerve Blockade

Inadvertent Breakage of the Spinal Needle during the Obturator Nerve Block for the Transurethral Resection of Bladder Tumor - A case report -

2007 ◽  
Vol 53 (2) ◽  
pp. 250 ◽  
Author(s):  
Ji Hyun Chin ◽  
In Gu Jun ◽  
Young Kug Kim ◽  
Keum Nae Kang ◽  
Gyu Sam Hwang ◽  
...  
Keyword(s):  
Case Report ◽  
Nerve Block ◽  
Transurethral Resection ◽  
Bladder Tumor ◽  
Obturator Nerve ◽  
Spinal Needle ◽  
Obturator Nerve Block

scholarly journals Outcome of Obturator Nerve Block by Inguinal and Transvesical Approach in Transurethral Resection of Bladder Tumor

2020 ◽  
Vol 23 (2) ◽  
pp. 118-123
Author(s):  
Md Mahmud Ur Rahman ◽  
Md Shafiqul Alam Chowdhury ◽  
Md Amanur Rasul ◽  
Sudip Das Gupta ◽  
Mohammed Mizanur Rahman
Keyword(s):  
Nerve Block ◽  
Transurethral Resection ◽  
Bladder Tumor ◽  
Bladder Wall ◽  
Obturator Nerve ◽  
Obturator Nerve Block ◽  
Significant Difference ◽  
Group A ◽  
Transvesical Approach ◽  
Group B

Introduction and aim of the study : Spinal anaesthesia for transurethral resection of bladder tumor (TURBT) does not prevent unintended stimulation of the obturator nerve when electro resection is performed on the lateral and Postero-lateral wall of the bladder. It results in muscle contraction of the adductor muscles of the thigh, which may lead to perforation of bladder wall with the resectoscope loop. The aim of the study was to compare the outcome of obturator nerve block by inguinal and transvesical approach. Materials and Methods: A prospective experimental study was done in the department of Urology Dhaka Medical College Hospital during the period of November 2016 to April 2018. Total 60 Patients were included for the study as per inclusion and exclusion Criteria. Patients were than allocated purposively into two groups by simple random sampling. Group A consisted of 30 patients where obturator nerve block (ONB) was done by transvesical approach and Group B also consisted of 30 patients where ONB was done by inguinal approach. Results: In the present study, the baseline characteristics of the patients in Group-A and Group-B were almost similar having no statistically significant difference. Obturator jerk more frequently occurred in group-B, in 13 (56.37%) patients following TURBT compared to Group-A, where 05(16.67%) patients developed obturator jerk. The intergroup difference was statistically significant (p<0.05). In case of 26 (86.67%) patients tumour was completely resectable in group-A, while in 21 (70.00%) patients of Group- B tumour was completely resectable. This was not a statistically significant difference (P>0.05). There was no incidence of bladder wall perforation in group-A, wherears this complication occurred in 02 (06.67%) cases of Group-B (p>0.05). Mean operative time in Group-A and group-B is 50.46 (±11.64) and 59.10 (±15.83) respectively (p<0.05). Conclusion: We conclude that transvesical approach is better in case of Jerk elimination and Less Procedure related time than inguinal approach during TURBT Bangladesh Journal of Urology, Vol. 23, No. 2, July 2020 p.118-123

scholarly journals The effect of holmium laser resection versus standard transurethral resection on non-muscle-invasive bladder cancer: A systematic review and meta-analysis

2019 ◽  
Author(s):  
Changlong Li ◽  
Liang Gao ◽  
Jindong Zhang ◽  
Xiaokang Yang ◽  
Chuan Liu
Keyword(s):  
Bladder Cancer ◽  
Urethral Stricture ◽  
Transurethral Resection ◽  
Bladder Tumor ◽  
Obturator Nerve ◽  
Muscle Invasive Bladder Cancer ◽  
Laser Resection ◽  
Muscle Invasive ◽  
Time Of Operation

Abstract Purpose: To explore the advantages and limitations of holmium laser resection of the bladder tumor (HOLRBT) versus standard transurethral resection of the bladder tumor (TURBT) in the treatment of non-muscle-invasive bladder cancer (NMIBC). Methods: The eligible studies were selected from the following databases: PubMed, Cochrane Library and Embase. Studies comparing HOLRBT and TURBT for patients with NMIBC were included. The outcomes of interest were time of operation, catheterization, and hospitalization, rates of recurrence and perioperative complications, including obturator nerve reflex, bladder perforation, bladder irritation and urethral stricture. Results of all data were compared and analyzed by Review Manager 5.3. Results: A total of 9 comparative studies were finally included for analysis. Pooled data demonstrated that HOLRBT could significantly reduce the time in catheterization and hospitalization, the rates of recurrence in 2 years of follow-up, obturator nerve reflex, bladder perforation, bladder irritation compared with those in TURBT, respectively. However, no significant difference could be found between HOLRBT and TURBT in the time of operation, rate of recurrence at 1-year follow-up and urethral stricture. Conclusions: The results of our research showed that HOLRBT would be a better choice than TURBT for patients with NMIBC.

Sign in / Sign up

Export Citation Format

Share Document