Abstract
OBJECTİVE
To compare the ability of the obturator nerve block (ONB) and increased plasma ignition
distance practice (IPDP) techniques to inhibit obturator nerve reflex (ONR) occurring
with bipolar transurethral resection of the bladder.
METHODS
Sixty patients who had a tumor placed at the lateral sidewall or had a tumor in another
part of the bladder along with the lateral wall were randomly enrolled. Cystoscopic
and ultrasonographic examinations and a computerized tomography scanning of the urinary
bladder were used to determine the ONB side. Group 1 consisted of patients who had
the ONB procedure. Group 2 consisted of patients who had IPIDP. The severity of the
ONR was classified as severe, mild, and very mild. The study's primary endpoint was
ONR occurrences and successful completion of the surgery. The secondary endpoints
were bleeding and bladder perforation.
RESULTS
There was a significant difference in the occurrence of ONR between the two groups
(p= 0.0011). However, there was no significant difference between the two groups in
the ability to resect the tumor and complete the surgery(p=0.764). There was no correlation
between the ONR and the tumor size (p = 0.478).
CONCLUSION
Our study concluded that both ONB and IPIDP have comparable results, especially in
resecting tumors and completing the operation. IPIDP has some advantages over ONB,
such as shorter operative time, lower total costs, and less trained personnel requirements.
Keywords
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Article info
Publication history
Accepted:
March 5,
2023
Received:
January 25,
2023
Publication stage
In Press Journal Pre-ProofFootnotes
Informed consent: Informed consent was obtained from all individual participants included in the study.
Conflict of interest: The authors declare that they have no conflict of interests.
Identification
Copyright
© 2023 Elsevier Inc. All rights reserved.
