ISSN 2149-3235 | E-ISSN 2149-3057
Original Article
Effectiveness of spinal anesthesia combined with obturator nerve blockade in preventing adductor muscle contraction during transurethral resection of bladder tumor
1 Anesthesiology Research Center, School of Medicine, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran  
2 Urology Research Center, School of Medicine, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran  
Turk J Urol 2017; 43: 507-511
DOI: 10.5152/tud.2017.96992
Key Words: Adductor muscle Jerking; obturator nerve; spinal anesthesia; transurethral resection of bladder tumor; TURBT
Abstract

Objective: To determine whether spinal anesthesia combined with obturator nerve blockade (SOB) is effective in preventing obturator nerve stimulation, jerking and bladder perforation during transurethral resection of bladder tumor (TURBT).

 

Material and methods:  In this clinical trial, 30 patients were randomly divided into two groups: spinal anesthesia (SA) and SOB. In SA group, 2.5 cc of 0.5% bupivacaine was injected intrathecally using a 25-gauge spinal needle and in SOB after spinal anesthesia, a classic obturator nerve blockade was performed by using nerve stimulation technique.

 

Results: There was a statistically significant difference between jerking in both groups (p=0.006). During the TURBT, surgeon satisfaction was significantly higher in SOB group compared to SA group (p=0.006). There was no significant correlation between sex, patient age and location of bladder tumor between the groups (p>0.05).

 

Conclusion: Obturator nerve blockade by using 15 cc lidocaine 1% is effective in preventing adductor muscle spasms during TURBT.

 

 

Cite this article as: Alavi CE, Asgari SA, Falahatkar S, Rimaz S, Naghipour M, Khoshrang H, et al. Effectiveness of spinal anesthesia combined with obturator nerve blockade in preventing adductor muscle contraction during trans-urethral resection of bladder tumor. Turk J Urol 2017; 43(4): 507-11.

Key Words
Authors
All
Survey
AVES | Copyright © 2018 Turkish Association of Urology | Latest Update: 13.06.2018