Transurethral resection of bladder cancer on the lateral bladder wall without obturator nerve block: extent of adductor spasms using the monopolar versus bipolar technique-a prospective randomised study

World Journal of Urology
T GramannD S Engeler

Abstract

To establish whether bipolar transurethral resection of tumours (bTURB) on the lateral bladder wall is superior to monopolar transurethral resection (mTURB) of such tumours. To our knowledge, this is the first prospective randomised study, which defines complete resection depending on obturator jerk as primary endpoint. In a prospective, randomised, single centre study, 52 patients with newly diagnosed or recurrent bladder tumour on the lateral bladder wall were enrolled and randomised to undergo mTURB or bTURB; 44 patients were eligible for analysis, of whom 21 underwent mTURB and 23 bTURB. Any differences between the two techniques related to the incidence of unwanted stimulation of the obturator nerve and subsequent adductor spasms were evaluated. All procedures were carried out under laryngeal mask anaesthesia without obturator nerve block (ONB) and without drug-induced relaxation. Baseline characteristics of the two study groups did not differ statistically significantly. The success rate defined as complete resection of the bladder tumour without any clinically relevant adductor spasm was 61.9% in the monopolar group and 82.6% in the bipolar group (p = 0.18). Complete, undisturbed resection of tumours of the lateral bladd...Continue Reading

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References

Feb 1, 1980·The Journal of Urology·R R Augspurger, R E Donohue
Sep 16, 2004·Der Urologe. Ausg. A·C BrunkenR Tauber
May 12, 2007·Wiener medizinische Wochenschrift·Daniel MeyerDaniel S Engeler
Feb 17, 2009·World Journal of Urology·Martine PloegLambertus A Kiemeney
Sep 15, 2010·Journal of Endourology·Mohammad Hatef KhorramiMaryam Javid
Aug 11, 2012·European Urology·Maximilian BurgerYair Lotan
Sep 26, 2012·International Journal of Urology : Official Journal of the Japanese Urological Association·Alessandro Del RossoCarlo Vicentini
Jan 1, 2012·Central European Journal of Urology·Karolina PladzykTomasz Lazowski
Nov 26, 2015·Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada·Deniz BolatOnur Okur
Jun 22, 2016·European Urology·Marko BabjukRichard Zigeuner
Aug 19, 2017·Endoscopic Ultrasound·UNKNOWN Chinese Thoracic Society, UNKNOWN Chinese Alliance against Lung Cancer

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Citations

Feb 24, 2021·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Deniz BolatMehmet Erhan Aydin
Aug 25, 2019·Journal of Clinical Anesthesia·Ali AhiskaliogluSenol Adanur

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