Korean J Urol.
1994 Apr;35(4):414-418.
Prevention of Obturator Nerve Reflex during Transurethral Surgery of Bladder Tumor
- Affiliations
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- 1Department of Urology, Kyungpook National University, College of Medicine, Taegu, Korea.
- 2Department of Anesthesiology, Kyungpook National University, College of Medicine, Taegu, Korea.
Abstract
- Adductor contraction from obturator nerve stimulation occurs frequently in certain situations during transurethral operations. Bladder perforation is a common result. A simple and safe technique involving use of a nerve stimulator for accurate obturator blockade and psoas compartment block are described. Only one of seven cases has obturator nerve stimulation after psoas compartment block. But there were no adductor contractions in more than seventeen transurethral resections during one year interval. There were no complications from the block itself or use of the nerve stimulator. Herein we introduce these safe methods for prevention of obturator nerve stimulation during transurethral resection.
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