{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:30:51Z","timestamp":1793493051205,"version":"4.5.0"},"reference-count":23,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Actas Urol\u00f3gicas Espa\u00f1olas (English Edition)"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.acuroe.2026.502007","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T15:59:17Z","timestamp":1783439957000},"page":"502007","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk factors for obturator nerve reflex during bipolar transurethral resection of lateral bladder wall tumors"],"prefix":"10.1016","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3847-0089","authenticated-orcid":false,"given":"G.","family":"Ozgur","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.E.","family":"Genc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Ozdemiroglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.M.","family":"Bekta\u015f","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Senoglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Kars","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.K.","family":"Cam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.E.","family":"Sener","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.acuroe.2026.502007_bib0005","first-page":"10","article-title":"Cancer statistics, 2025","volume":"75","author":"Siegel","year":"2025","journal-title":"CA Cancer J Clin"},{"issue":"9","key":"10.1016\/j.acuroe.2026.502007_bib0010","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1586\/14737140.6.9.1301","article-title":"Recent improvements in the detection and treatment of nonmuscle-invasive bladder cancer","volume":"6","author":"Kausch","year":"2006","journal-title":"Expert Rev Anticancer Ther"},{"key":"10.1016\/j.acuroe.2026.502007_bib0015","doi-asserted-by":"crossref","unstructured":"Gontero (Chair) PAB, Comp\u00e9rat E, Dominguez Escrig JL, Liedberg F, Mariappan P, Masson-Lecomte A, et al. Patient Advocates: L. Makaroff, R. Wood Guidelines Associates. En: Capoun O, Moschini M, Pradere B, Rai BP, Soria F, Soukup Guidelines Office: V, et al., editores. EAU Guidelines on Non-muscle-invasive Bladder Cancer (TaT1 and CIS). Madrid: EAU Annual Congress; 2025.","DOI":"10.1016\/j.eururo.2026.04.009"},{"issue":"1","key":"10.1016\/j.acuroe.2026.502007_bib0020","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1159\/000447223","article-title":"Avoiding the Obturator Jerk during TURBT","volume":"12","author":"Panagoda","year":"2018","journal-title":"Curr Urol"},{"issue":"1","key":"10.1016\/j.acuroe.2026.502007_bib0025","first-page":"1248","article-title":"Impact of obturator nerve block on the short-term recurrence of superficial bladder tumors on the lateral wall","volume":"11","author":"Tekg\u00fcl","year":"2014","journal-title":"Urol J"},{"issue":"5","key":"10.1016\/j.acuroe.2026.502007_bib0030","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.1016\/j.juro.2014.05.100","article-title":"Comparison of perioperative outcomes including severe bladder injury between monopolar and bipolar transurethral resection of bladder tumors: a population based comparison","volume":"192","author":"Sugihara","year":"2014","journal-title":"J Urol"},{"issue":"2","key":"10.1016\/j.acuroe.2026.502007_bib0035","first-page":"88","article-title":"Transurethral Resection of Bladder Cancer (TUR-B) for non-muscle invasive bladder cancer: how to reach excellence?","volume":"13","author":"Mehmet \u0130lker G\u00f6kce","year":"2014","journal-title":"Bull Urooncol"},{"issue":"3","key":"10.1016\/j.acuroe.2026.502007_bib0040","doi-asserted-by":"crossref","first-page":"284","DOI":"10.5173\/ceju.2015.565","article-title":"Bladder injury secondary to obturator reflex is more common with plasmakinetic transurethral resection than monopolar transurethral resection of bladder cancer","volume":"68","author":"Ozer","year":"2015","journal-title":"Cent European J Urol"},{"issue":"5","key":"10.1016\/j.acuroe.2026.502007_bib0045","first-page":"225","article-title":"Comparing the short-term outcomes and complications of monopolar and bipolar transurethral resection of non-muscle invasive bladder cancers: a prospective, randomized, controlled study","volume":"69","author":"Bolat","year":"2016","journal-title":"Arch Esp Urol"},{"issue":"3","key":"10.1016\/j.acuroe.2026.502007_bib0050","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1089\/end.2020.1054","article-title":"Safety and efficacy of transurethral resection of bladder tumor comparing spinal anesthesia with spinal anesthesia with an obturator nerve block: a systematic review and meta-analysis","volume":"35","author":"Krishan","year":"2021","journal-title":"J Endourol"},{"issue":"5","key":"10.1016\/j.acuroe.2026.502007_bib0055","doi-asserted-by":"crossref","first-page":"5420","DOI":"10.1002\/cam4.5364","article-title":"Comparison of different methods of obturator nerve block in transurethral resection of bladder tumors: a systematic review and network meta-analysis","volume":"12","author":"Wu","year":"2023","journal-title":"Cancer Med"},{"issue":"4","key":"10.1016\/j.acuroe.2026.502007_bib0060","doi-asserted-by":"crossref","first-page":"3061","DOI":"10.1097\/JS9.0000000000002291","article-title":"An updated systematic review, meta-analysis, and trial sequential analysis of the efficacy and safety of en bloc transurethral resection vs. conventional transurethral resection for nonmuscle-invasive bladder tumor","volume":"111","author":"Xu","year":"2025","journal-title":"Int J Surg (London, Engl)"},{"key":"10.1016\/j.acuroe.2026.502007_bib0065","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.urology.2023.03.003","article-title":"Increased plasma ignition distance practice may prevent the obturator reflex occurrences and compare of its effectiveness versus obturator block: a prospective, randomized, controlled study","volume":"176","author":"Erg\u00fcn","year":"2023","journal-title":"Urology"},{"issue":"4","key":"10.1016\/j.acuroe.2026.502007_bib0070","doi-asserted-by":"crossref","first-page":"436","DOI":"10.23736\/S2724-6051.24.05682-9","article-title":"Prospective non-randomized comparison of transurethral laser en bloc resection vs. conventional resection of bladder tumors larger than 3 cm","volume":"76","author":"Petov","year":"2024","journal-title":"Minerva Urol Nephrol"},{"issue":"9","key":"10.1016\/j.acuroe.2026.502007_bib0075","doi-asserted-by":"crossref","first-page":"2161","DOI":"10.1007\/s11255-023-03638-6","article-title":"Bladder perforation as a complication of transurethral resection of bladder tumors: the predictors, management, and its impact in a series of 1570 at a tertiary urology institute","volume":"55","author":"Osman","year":"2023","journal-title":"Int Urol Nephrol"},{"issue":"9-10","key":"10.1016\/j.acuroe.2026.502007_bib0080","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1159\/000506655","article-title":"Efficacy and safety of transurethral laser surgery versus transurethral resection for non-muscle-invasive bladder cancer: a meta-analysis and systematic review","volume":"104","author":"Xu","year":"2020","journal-title":"Urol Int"},{"issue":"4","key":"10.1016\/j.acuroe.2026.502007_bib0085","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1111\/j.1442-2042.2012.03174.x","article-title":"Plasmakinetic bipolar versus monopolar transurethral resection of non-muscle invasive bladder cancer: a single center randomized controlled trial","volume":"20","author":"Del Rosso","year":"2013","journal-title":"Int J Urol"},{"issue":"4","key":"10.1016\/j.acuroe.2026.502007_bib0090","doi-asserted-by":"crossref","DOI":"10.1111\/ijcp.13924","article-title":"Ta grade 3\/high grade non-invasive bladder cancer: Should we perform a second TUR?","volume":"75","author":"Tinay","year":"2021","journal-title":"Int J Clin Pract"},{"issue":"5","key":"10.1016\/j.acuroe.2026.502007_bib0095","doi-asserted-by":"crossref","first-page":"1566","DOI":"10.1016\/j.juro.2011.12.114","article-title":"Gender and body mass index as risk factors for bladder perforation during primary transurethral resection of bladder tumors","volume":"187","author":"Herkommer","year":"2012","journal-title":"J Urol"},{"issue":"7","key":"10.1016\/j.acuroe.2026.502007_bib0100","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1111\/j.1464-410X.2010.09696.x","article-title":"Transurethral resection of bladder tumour complicated by perforation requiring open surgical repair - clinical characteristics and oncological outcomes","volume":"107","author":"Golan","year":"2011","journal-title":"BJU Int"},{"issue":"10","key":"10.1016\/j.acuroe.2026.502007_bib0105","doi-asserted-by":"crossref","first-page":"1651","DOI":"10.1089\/end.2009.0659","article-title":"Transvesical blockade of the obturator nerve to prevent adductor contraction in transurethral bladder surgery","volume":"24","author":"Khorrami","year":"2010","journal-title":"J Endourol"},{"issue":"9","key":"10.1016\/j.acuroe.2026.502007_bib0110","doi-asserted-by":"crossref","first-page":"1248","DOI":"10.1177\/0284185120956281","article-title":"Split renal function after treatment of small renal masses: comparison between radiofrequency ablation and laparoscopic partial nephrectomy","volume":"62","author":"Acosta Ruiz","year":"2021","journal-title":"Acta Radiol"},{"issue":"12","key":"10.1016\/j.acuroe.2026.502007_bib0115","doi-asserted-by":"crossref","first-page":"9811","DOI":"10.62347\/FEWQ7776","article-title":"Efficacy of a pubic superior ramus approach versus a distal approach for obturator nerve block in transurethral bladder tumor resection: a randomized controlled trial","volume":"17","author":"Zhang","year":"2025","journal-title":"Am J Transl Res"}],"container-title":["Actas Urol\u00f3gicas Espa\u00f1olas (English Edition)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2173578626001526?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2173578626001526?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:19:42Z","timestamp":1793492382000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2173578626001526"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":23,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["S2173578626001526"],"URL":"https:\/\/doi.org\/10.1016\/j.acuroe.2026.502007","relation":{},"ISSN":["2173-5786"],"issn-type":[{"value":"2173-5786","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Risk factors for obturator nerve reflex during bipolar transurethral resection of lateral bladder wall tumors","name":"articletitle","label":"Article Title"},{"value":"Actas Urol\u00f3gicas Espa\u00f1olas (English Edition)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.acuroe.2026.502007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.acuro.2026.502007","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 AEU. Published by Elsevier Espa\u00f1a, S.L.U. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"502007"}}