[Controlled obturator nerve block using electrostimulation: prevention of the stimulation of the obturator nerve during resection of the lateral walls of the bladder].
An adductor contraction secondary to obturator nerve stimulation can occur during transurethral resection of a lateral bladder lesion and then can induce bladder perforation or hamper complete resection. Many technique have been advocated but they are ineffective or unreliable. Obturator nerve blockade in the obturator canal by local anesthesia with control by nerve stimulator can prevent these complications. The technique described, has been used in 12 patients it is reliable, fast and easy to perform.
Grise
P
P
Service d'Urologie, Centre Hospitalier Universitaire Rouen.
Jardel
B
B
Rozada
P
P
Dadoun
D
D
Weber
J
J
Winckler
C
C
D000772:Anesthesia, Local; D003558:Cystoscopy; D004558:Electric Stimulation; D006801:Humans; D009407:Nerve Block / Q000379:methods*; D009776:Obturator Nerve; D001743:Urinary Bladder / Q000294:innervation*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*
Blocage obturateur contrôlé par électrostimulation: prévention de la stimulation du nerf obturateur lors des résections des faces latérales de vessie.