Increased Plasma Ignition Distance Practice may Prevent the Obturator Reflex Occurrences and Compare of its Effectiveness Versus Obturator Block: A Prospective, Randomized, Controlled Study
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. Sixty patients who had a tumor placed at the lateral sidewall or had a tu...
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Published in | Urology (Ridgewood, N.J.) Vol. 176; pp. 226 - 231 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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Elsevier Inc
01.06.2023
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Abstract | 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.
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.
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 = .764). There was no correlation between the ONR and the tumor size (P = 0.478).
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. |
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AbstractList | OBJECTIVETo 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.METHODSSixty 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.RESULTSThere 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 = .764). There was no correlation between the ONR and the tumor size (P = 0.478).CONCLUSIONOur 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. 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. 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. 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 = .764). There was no correlation between the ONR and the tumor size (P = 0.478). 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. |
Author | Özorak, Alper Soyupek, Sedat Ergün, Osman Gürdal, Osman Oksay, Taylan Kırçiçek, Fahrettin Alperen Öztürk, Sefa |
Author_xml | – sequence: 1 givenname: Osman orcidid: 0000-0001-7611-0933 surname: Ergün fullname: Ergün, Osman email: osmanergun77@gmail.com organization: Süleyman Demirel University, Medical School, Department of Urology, Isparta, Turkey – sequence: 2 givenname: Sefa surname: Alperen Öztürk fullname: Alperen Öztürk, Sefa organization: Süleyman Demirel University, Medical School, Department of Urology, Isparta, Turkey – sequence: 3 givenname: Fahrettin surname: Kırçiçek fullname: Kırçiçek, Fahrettin organization: Sağlık Bilimleri University, Gazi Yaşargil Training and Research Hospital, Department of Anesthesiology and Reanimation, Diyarbakır, Turkey – sequence: 4 givenname: Osman surname: Gürdal fullname: Gürdal, Osman organization: Suleyman Demirel University, Medical School, Department of Biostatistics and Medical Informatics, Isparta, TURKEY – sequence: 5 givenname: Sedat surname: Soyupek fullname: Soyupek, Sedat organization: Süleyman Demirel University, Medical School, Department of Urology, Isparta, Turkey – sequence: 6 givenname: Taylan surname: Oksay fullname: Oksay, Taylan organization: Süleyman Demirel University, Medical School, Department of Urology, Isparta, Turkey – sequence: 7 givenname: Alper surname: Özorak fullname: Özorak, Alper organization: Süleyman Demirel University, Medical School, Department of Urology, Isparta, Turkey |
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Snippet | To compare the ability of the obturator nerve block (ONB) and increased plasma ignition distance practice (IPDP) techniques to inhibit obturator nerve reflex... OBJECTIVETo compare the ability of the obturator nerve block (ONB) and increased plasma ignition distance practice (IPDP) techniques to inhibit obturator nerve... |
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SubjectTerms | Humans Obturator Nerve - pathology Prospective Studies Reflex Urinary Bladder - diagnostic imaging Urinary Bladder - innervation Urinary Bladder - surgery Urinary Bladder Neoplasms - pathology Urinary Bladder Neoplasms - surgery Urologic Surgical Procedures - methods |
Title | Increased Plasma Ignition Distance Practice may Prevent the Obturator Reflex Occurrences and Compare of its Effectiveness Versus Obturator Block: A Prospective, Randomized, Controlled Study |
URI | https://dx.doi.org/10.1016/j.urology.2023.03.003 https://www.ncbi.nlm.nih.gov/pubmed/36934912 https://search.proquest.com/docview/2788800091 |
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