Neoplasm of Lateral Wall of Urinary Bladder Clinical Trial
Official title:
Transurethral Resection of Bladder Tumors Without Obturator Nerve Block or Relaxation: Extent of Adductor Muscle Contraction With Monopolar Versus Bipolar Resection Technique
This is a single-center, prospective, randomized, controlled trial comparing two established
transurethral electrical resection methods of urinary bladder tumors regarding their risk of
stimulating the obturator nerve.
One of the major safety issues with transurethral resection is bladder perforation as a
consequence of obturator nerve stimulation followed by muscle contraction of. This is mostly
a risk of resection of lateral bladder wall tumors near the course of the obturator nerve. It
has been advocated that bipolar may be superior to monopolar resection, based on its
different electrical properties. This is an important safety aspect for the patient.
Main study question: In patients with lateral wall urinary bladder tumors, is bipolar
superior to monopolar transurethral electroresection regarding risk of stimulation of the
obturator nerve without preoperative nerve block?
n/a