PTU - Polskie Towarzystwo Urologiczne
list of articles:

Obturator nerve blockade during resection of bladder tumor
Article published in Urologia Polska 2004/57/4.

authors

Marcin Ciechomski
Katedra Anestezjologii i Intensywnej Terapii Akademii Medycznej w Warszawie
Kierownik katedry: prof. dr hab. Ewa Mayzner-Zawadzka

keywords

bladder, blockade of obturator nerve, intraoperative complications, perforation

summary

objectives
The purpose of the study was to evaluate an obturator nerve blockade by interadductor approach in patients laying in lithotomy position for transurethral procedures.
patients and methods
From 01.01.2000 to 30.06.2003 we studied prospectively in Department of Urology, Medical University of Warsaw all patients required obturator nerve blockade.
Patients were placed in lithotomy position under spinal anaesthesia. Blockade of an obturator nerve was performed using interadductor approach with 10 mL of 2% Lidocaine.
results
Obturator nerve blockade was performed 189 times. 174 (92,06%) blockades were recognized as successful, 9 (4,76%), as satisfactory and in 6 (3,18%) cases there were no blockade.
We did not observe any complications related to the blockade. In one case with satisfactorily recognized blockade, perforation of the bladder wall occurred. It was treated conservatively.
conclusions
Interadductor approach of obturator nerve blockade in patients laying in lithotomy position is an effective method of preventing of uncontrolled muscle contraction during transurethral resection of bladder tumors.
Obturator nerve blockade by interadductor approach is a safe method preventing perforation of bladder wall during transurethral procedures.

references

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correspondence

Marcin Ciechomski
Katedra Anestezjologii i Intensywnej Terapii AM
ul. Lindleya 4
02-005 Warszawa