Purpose: We aimed to investigate the effects of obturator nerve block (ONB) on obturator reflex, incomplete resection, perforation, progression and recurrence of tumor, presence of muscle tissue in the specimen, need for a second transurethral resection (TURBT) of bladder tumors, and postoperative complications in patients who underwent TURBT for intermediate-high risk lateral wall non-muscle invasive bladder cancers (NMIBC). Material and Methods: Patients were assigned to one of two groups by drawing lots: ONB or no ONB. Early and late recurrence, tumor progression, obturator reflex beat, incomplete resection, perforation, presence of muscle layer in pathology, second TURBT application, operation time, postoperative hospital stay, and complications were compared between the two groups. Results: The median follow-up time of study was 32 (23-41) months. Interquartile range (IQR) was 9. Tumor recurrence at the 3rd month cystoscopy was observed in 5 (9.8%) patients in the ONB group, while it was observed in 11 (20.8%) patients in the nONB group (P = 0.01). Late tumor recurrence was observed in 10 patients (19.6%) in the ONB group, and in 20 patients (37.7%) in the nONB group (P = 0.041). The RFS rate at 12th month was 84% in the ONB group, 69% in the nONB group, 79% in the ONB group at 36th month, and 58% in the nONB group at 36 months, the PFS rate was 94% in the ONB group, while it was 85% in the nONB group (P = 0.041). Conclusion: Our study showed that ONB decreases the early and late recurrence and increases recurrence free survival in patients with intermediate-high risk lateral wall bladder cancer.

Prostatosymphyseal Fistula and Pubic Osteomyelitis after Transurethral Resection of the Prostate: A Challenging Complication and Current Literature Review - The Medical Bulletin of Haseki

This study aimed to evaluate the ability of the systemic immune-inflammation index (SII), which is tested before transrectal ultrasound-guided systematic p

Background: This study aims to evaluate whether urinating by pulling down the trousers vs. unzipping the trousers only has an effect on maximum flow rate (Qmax), average flow rate (Qave), voiding time and post-void residual urine (PVR) in patients with lower urinary tract symptoms (LUTS) secondary to benign prostate obstruction (BPO). Methods: Patients receiving alpha-blocker therapy and habitually voiding in a standing position were prospectively enrolled. Each participant underwent uroflowmetry (UF) in two separate sessions, with one session involving voiding by pulling the trousers down to the knees and the other involving voiding by unzipping the trousers only. Qmax, Qave, voiding time and PVR volume were recorded and compared between the two positions. Results: A total of 74 patients were included in the analysis. The mean Qmax was 10.80 ± 3.20 mL/s in the unzipping position and 13.10 ± 4.04 mL/s in the pulling-down position. The Qave, voiding time and PVR in the unzipping position were 5.01 ± 2.57 mL/s, 70.80 ± 50.40 s and 63.99 ± 38.11 mL, respectively, and those in the pulling-down position were 5.89 ± 3.09 mL/s, 58.20 ± 26.90 s and 53.38 ± 38.96 mL, respectively. Statistically significant differences were observed in Qmax (p < 0.001), Qave (p < 0.001), PVR volume (p < 0.001) and voiding time (p = 0.006). Conclusions: In patients with LUTS secondary to BPO who void in a standing position, the specific subposition (pulling down trousers vs. unzipping) significantly affects UF parameters and PVR volumes. These findings demonstrate that standing voiding should not be considered as a single, uniform posture. Clinical Trial Registration: ClinicalTrials.gov identifier: NCT06260917; available at https://clinicaltrials.gov/study/NCT 06260917.

Objetivos: La termoterapia bipolar por radiofrecuencia es uno de los métodos adoptados en pacientes con alto riesgo quirúrgico. El objetivo de ...