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.

Renal Kolik Muhammed Ali ULUCAK Hematüri Murat Cengizhan ATİK Epididimit-Orşit Mustafa Esat İNCE Karın Ağrısına Yaklaşım Fatih TÜRKOĞLU Cinsel Yolla Bulaşan Hastalıklar Berkay EREN İdrar Yolu Enfeksiyonları Veysel BAYBURTLUOĞLU Vajinal Akıntılara Yaklaşım Ayşe YILMAZ YALÇINKAYA İnguinal Herniler Fatih TÜRKOĞLU Hidrosel Recep UZUN Varikosel Veli Mert YAZAR İnfertilite Kemal ULUSOY, İbrahim KELEŞ İnmemiş Testis Özgecan DEMİRBAŞ Hipospadias Kutay TOPAL Fimozis, Parafimozis, Sünnet Recep UZUN, Osman GERÇEK Sünnetin Çocuk Ruh Sağlığı Üzerine Etkisi Hacer Gizem GERÇEK Enürezis Hacer Gizem GERÇEK İnkontinans Abdullah GÜREL Geriatrik Hastalarda Alt Üriner Sistem Semptomları ve İnkontinans Mete KÜÇÜKASLAN Mesane Ağrı Sendromu Burhan BAYLAN Benign Prostat Hiperplazisinde Medikal Tedavi Mustafa KARALAR Erektil Disfonksiyon ve Prematür Ejekülasyon Melih ŞENKOL Prostat Kanseri Tarama ve Erken Tanı Kemal ULUSOY