Comparing the Safety and Efficiency of Conventional Monopolar, Plasmakinetic, and Holmium Laser Transurethral Resection of Primary Non-muscle Invasive Bladder Cancer

Song, Xishuang; Yang, Deyong; Che, Xiangyu; Jiang, Tao; Li, Quan‐Lin; Guan, Hao; Jia, Yin; Wu, Dongjun; He, Zhijun; Wang, Jianbo; Wang, Lina; Lin, Ye

doi:10.1089/end.2009.0171

Cited by 128 publications

(115 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The authors concluded that narrow band imaging with B-TURBT is an excellent alternative to traditional TURBT methods with the potential to improve current standards. Xishuang et al [11] compared M-TURBT, plasmakinetic, and holmium laser TURBT in 173 patients with primary NMIBC. Compared with the M-TURBT group, both plasmakinetic and holmium laser TURBT groups had less intraoperative and postoperative complications, including obturator jerk, bladder perforation, as well as bleeding and postoperative bladder irritation.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Monopolar and Bipolar Transurethral Resection of Non-Muscle Invasive Bladder Cancer

Balcı¹,

Tuncel²,

Keten³

et al. 2017

Urol Int

View full text Add to dashboard Cite

Objective: We aimed to compare the safety and efficacy of monopolar and bipolar transurethral resection (TUR) of bladder tumors (TURBTs). Material and Methods: A total of 240 patients who underwent TURBT were prospectively included in the study from May 2011 to May 2014. All patients with suspected bladder tumors were eligible for study inclusion. Those who refused consent and those undergoing routine restaging TURBT were excluded from analysis. Patients were divided on the basis of the monopolar arm and the bipolar arm. Study outcomes included the incidence of bladder perforation and obturator jerk, decrease in hemoglobin and sodium levels, rates of re-coagulation and blood transfusion, TUR syndrome, and operation time. Results: The mean age of the patients was 62 ± 13.7 years. The incidence of obturator jerk and bladder perforation was greater in the bipolar arm. However, with a decrease in the hemoglobin and sodium levels, rates of re-coagulation and blood transfusion were greater in the monopolar arm. Statistical analysis did not show significant differences with regard to study outcomes between the groups. There was no case of TUR syndrome in the 2 arms. The residual tumors' rate was similar between the 2 groups. Conclusions: Our results showed that efficacy and safety of the monopolar and bipolar methods seems to be comparable in patients with bladder tumors.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of Monopolar and Bipolar Transurethral Resection of Non-Muscle Invasive Bladder Cancer

Balcı¹,

Tuncel²,

Keten³

et al. 2017

Urol Int

View full text Add to dashboard Cite

show abstract

“…Bolat et al [6] demonstrated that the use of bipolar diathermy had a significantly lower incidence of obturator jerk and bladder perforation. Xishuang et al [7] also showed a lower complication rate (including obturator jerk and bladder perforation) with the use of bipolar diathermy versus monopolar diathermy. In a large Japanese study carried out by Sugihara et al [8], bipolar resection was found to be associated with a significantly lower incidence of severe bladder injury when compared with monopolar resection.…”

Section: Preventing “Obturator Jerk”mentioning

confidence: 99%

Avoiding the Obturator Jerk during TURBT

Panagoda¹,

Vasdev²,

Gowrie‐Mohan³

2018

Current Urology

View full text Add to dashboard Cite

Introduction: Bladder cancer is the seventh most common cancer in the UK. Transurethral resection of bladder tumor (TURBT) is a relatively common procedure used to treat cancer of the bladder. A serious complication of TURBT is bladder perforation, the risk of which is greatly increased in the presence of an “obturator jerk”. Methods: A literature search was performed on PubMed using the following search criteria “obturator nerve block”, “obturator nerve block in transurethral resection of bladder tumor”, “adductor spasm during transurethral resection of bladder tumor”, “bi-polar diathermy obturator nerve”, and “transvesical obturator nerve block”. Articles describing surgical and anesthetic techniques for reducing adductor spasm during resection of bladder tumors were included. Discussion: TURBT is a relatively common urological operation performed to remove tumors of the bladder. Every measure should be taken to avoid serious complications from both anesthesia and surgery. Surgical measures to reduce the likelihood of an obturator jerk include reducing the diathermy current, avoiding over-distention bladder, and using bipolar diathermy as opposed to monopolar diathermy (although there is conficting evidence for this in the literature). Anesthetists should consider the use of neuromuscular blockade or an obturator nerve block to reduce the incidence of obturator jerk and risk of bladder perforation.

show abstract

“…Totally 173 patients were divided into 3 groups. Plasmakinetic group and holmium laser group were free from complications, while 4 perforations were seen in monopolar group (23). Intravesical approach technique which needle is inserted throughout cystoscopy has been used recently.…”

Section: Prevention Of Obturator Reflexesmentioning

confidence: 99%

A nightmare during endoscopic bladder tumor resection; obturator reflex

Kati¹,

İzgi²

2017

J Turgut Ozal Med Cent

View full text Add to dashboard Cite

Bladder Tumor is the most common cancer type among urologic cancers and causes high mortality-morbidity if it is not treated early and appropriately. Although there are lots of causes and risks of bladder tumor and it is known that tobacco smoking is the main contributor to bladder tumor, etiology of tumor is not clear. At diagnosis, it is generally seen as a superficial tumor. Transurethral resection of bladder cancer (TUR-B) is the primary surgical method for the diagnosis, staging and treatment of primary or recurrent non-muscle-invasive bladder cancer. In this procedure, different complications may occur, especially bleeding, and the most important complication is bladder perforation. Additional therapies are needed depending on location and size of perforation. An intraperitoneal perforation can lead to laparotomy, bladder repair and open drainage of the abdominal cavity. Sudden adductor muscle spasm can occur when the obturator nerve is directly stimulated by the electrical current transmitted by the resectoscope, especially when the surgeon is operating at the lateral wall of the bladder, where the obturator nerve runs in close proximity during its intrapelvic course. Therefore, the type of anesthesia is important in the lateral wall tumors of the bladder. Obturator nerve block is an effective method of preventing obturator nerve reflex. Combination of obturator nerve block and spinal anesthesia seems to be a safe method of anesthesia in transurethral surgery. We aimed to form a review to reduce difficult situations and to minimize the adverse consequences caused by this reflex that becomes a nightmare in many surgical cases.

show abstract

Comparing the Safety and Efficiency of Conventional Monopolar, Plasmakinetic, and Holmium Laser Transurethral Resection of Primary Non-muscle Invasive Bladder Cancer

Abstract: Both PK-TURBT and HoL-TURBT might prove to be preferable alternatives to CM-TURBT management of non-muscle invasive bladder cancer. PK-TURBT and HoL-TURBT, however, did not demonstrate an obvious advantage over CM-TURBT in tumor recurrence rate.

Cited by 128 publications

References 18 publications

Comparison of Monopolar and Bipolar Transurethral Resection of Non-Muscle Invasive Bladder Cancer

Comparison of Monopolar and Bipolar Transurethral Resection of Non-Muscle Invasive Bladder Cancer

Avoiding the Obturator Jerk during TURBT

A nightmare during endoscopic bladder tumor resection; obturator reflex

Contact Info

Product

Resources

About