EFFICACY AND SAFETY OF TRANSURETHRAL PLASMAKINETIC ENUCLEATION OF BLADDER TUMOR UNDER OBTURATOR NERVE BLOCK WITH THE GUIDANCE OF ULTRASOUND AND NEUROSTIMULATION

You have accessJournal of UrologyBladder Cancer: Non-invasive III (MP72)1 Apr 2020MP72-08 EFFICACY AND SAFETY OF TRANSURETHRAL PLASMAKINETIC ENUCLEATION OF BLADDER TUMOR UNDER OBTURATOR NERVE BLOCK WITH THE GUIDANCE OF ULTRASOUND AND NEUROSTIMULATION Shuang Li, Jian Zhang, Yunlu Zhan, and Yuexin Liu* Shuang LiShuang Li More articles by this author , Jian ZhangJian Zhang More articles by this author , Yunlu ZhanYunlu Zhan More articles by this author , and Yuexin Liu*Yuexin Liu* More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000952.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To compare the efficacy, safety, pathologic stage and tumor recurrence rate between PKEBt and TURBt on newly diagnosed non-muscle invasive bladder cancer (NMIBC) on the lateral bladder wall with obturator nerve block (ONB) guided by ultrasound and neurostimulation. METHODS: 62 patients with newly diagnosed NMIBC on the lateral bladder wall, including 45 males and 17 females, had been successfully followed up and analyzed retrospectively from September 2010 to April 2015. The patients were randomly divided into PKEBt group and TURBt group. The corresponding clinical data was compared between PKEBt group and TURBt group. RESULTS: There was no statistical difference in age, sex, tumor diameter, tumor number and operation time between PKEBt group and TURBt group (P>0.05). The blood loss, postoperative indwelling catheterization time and postoperative hospitalization day in PKEBt group was less than that in TURBt group (P<0.01). The incidence of obturator nerve reflex, bladder perforation and postoperative bladder spasm in PKEBt group was less than that in TURBt group (P<0.05). There was no statistical difference in postoperative infection and postoperative bladder hemorrhage over 50ml between PKEBt group and TURBt group (P > 0.05). There was no statistical difference in tumor postoperative recurrence rate and stage or grade progression rate of postoperative tumor recurrence between PKEBt group and TURBt group during 60-month follow-up (P>0.05). CONCLUSIONS: PKEBt under ONB with the guidance of ultrasound and neurostimulation may be safer and more effective than TURBt in NMIBC treatment, which may be appropriate for the precise diagnosis and treatment of NMIBC. Source of Funding: Natural Science Foundation of Beijing Municipal (7172110). © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1076-e1076 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Shuang Li More articles by this author Jian Zhang More articles by this author Yunlu Zhan More articles by this author Yuexin Liu* More articles by this author Expand All Advertisement PDF downloadLoading ...