International Journal of Hematology and Oncology 2020, Vol 30, Num 3 Page(s): 232-236
Safe Resection of Bladder Tumors with Plasma Kinetic Energy

Ibrahim YILDIRIM1, Seref BASAL1, H. Cem IRKILATA1, Umit H. ULAS2, Murat ZOR1, Serdar GOKTAS1, Murat DAYANC1

1Gülhane Military Medical Academy, Department of Urology, Ankara, TURKEY
2Gülhane Military Medical Academy, Department of Neurology, Ankara, TURKEY

Keywords: Bladder cancer, Cautery, Obturator nerve reflex, Plasma kinetic, Transurethral resection
The purpose of this study was to compare the bipolar Plasma Kinetic (PK) energy and conventional monopolar energy in the transurethral resection of bladder lateral wall tumors (TURB) for preventing ONR and bladder perforation. Thirty patients undergone TURB between September 2005 and December 2007 were included to the study. TURB was performed with monopolar energy in first (n:15) and with bipolar energy in second (n:15) groups. Maximum tumor size and number of active ONR, minor and major (required open bladder repair) bladder perforations and hospitalization periods were noted. In the first group, 6 minor and 1 major ONR related bladder perforations were seen. No complications were observed in the second group. The number of minor perforations and hospitalization periods were also statistically significant between two groups. Our results showed that TUR of lateral wall bladder tumors by using PK enregy is safer than conventional monopolar energy in preventing ONR related bladder perforations.