Improving Transurethral Resection of Bladder Tumour: The Gold Standard for Diagnosis and Treatment of Bladder Tumours

2008 ◽  
Vol 7 (7) ◽  
pp. 524-528 ◽  
Author(s):  
Kay Thomas ◽  
Timothy O’Brien
Keyword(s):  
Transurethral Resection ◽  
Gold Standard ◽  
Bladder Tumour ◽  
Diagnosis And Treatment ◽  
Bladder Tumours

scholarly journals Effect of Continuously Warmed Irrigating Solution during Transurethral Resection

1988 ◽  
Vol 16 (3) ◽  
pp. 324-328 ◽  
Author(s):  
T. Harioka ◽  
M. Murakawa ◽  
J. Noda ◽  
K. Mori
Keyword(s):  
Body Temperature ◽  
Operating Room ◽  
Spinal Anaesthesia ◽  
Transurethral Resection ◽  
Room Temperature ◽  
Bladder Tumour ◽  
Body Temperatures ◽  
Lower Abdomen ◽  
Deep Body ◽  
Bladder Tumours

The effects of a continuously warmed irrigating solution on body temperature during transurethral resection of the prostate and of bladder tumours were studied in forty patients. Anaesthesia was spinal and deep body temperatures of the forehead and lower abdomen were measured, using a deep body thermometry system. Both forehead and lower abdominal deep body temperatures decreased significantly in the patients who underwent transurethral resection of the prostate with an irrigating solution at operating room temperature, but did not decrease in the patients who received a continuously warmed irrigating solution. The same results were obtained for the patients who underwent transurethral resection of bladder tumour. Our results indicate that a continuously warmed irrigating solution could prevent the fall in body temperature during transurethral resection, especially prostate resection, under spinal anaesthesia.

879Second transurethral resection in diagnosis and treatment of bladder tumours. Is it necessary?

2005 ◽  
Vol 4 (3) ◽  
pp. 222
Author(s):  
U. Altug ◽  
F. Yalcinkaya ◽  
A. Ozkaya ◽  
M. Cakan ◽  
O. Yapici
Keyword(s):  
Transurethral Resection ◽  
Diagnosis And Treatment ◽  
Bladder Tumours

scholarly journals Cautery artifact understages urothelial cancer at initial transurethral resection of large bladder tumours

2017 ◽  
Vol 11 (5) ◽  
pp. 203 ◽  
Author(s):  
Matthew Truong ◽  
Lorraine Liang ◽  
Janet Kukreja ◽  
Jeanne O’Brien ◽  
Jerome Jean-Gilles ◽  
...  
Keyword(s):  
Transurethral Resection ◽  
Urothelial Cancer ◽  
Tumour Size ◽  
Accurate Determination ◽  
Bladder Tumour ◽  
Billing Data ◽  
Accurate Staging ◽  
Resident Involvement ◽  
Bladder Tumours

Introduction: We sought to determine how frequently cautery (thermal) artifact precludes an accurate determination of stage at initial transurethral resection of bladder tumour (TURBT) of large bladder tumours.Methods: We queried our institution’s billing data to identify patients who underwent TURBT for large bladder tumours >5cm (CPT 52240) by two urologists at an academic centre from January 2009 through April 2013. Only patients who underwent initialstaging TURBT for urothelial cancer were included. Pathological reports were reviewed for stage, number of separate pathological specimens per TURBT, and presence of cautery artifact. Operative reports were reviewed for whether additional cold cup biopsies were taken of other suspicious areas of the bladder, resident involvement, and type of electrocautery.Results: We identified 119 patients who underwent initial staging TURBT for large tumours. Cautery artifact interfered with accurate staging in 7/119 (6%) of cases. Of these, six patients underwent restaging TURBT, with 50% percent experiencing upstaging to T2 disease. Tumour size, tumour grade, whether additional cold cup biopsies were taken, number of separate pathological specimens sent, and resident involvement were not associated with cautery artifact (all p>0.05). Bipolar resection had a higher rate of cautery artifact 5/42 (12%), compared to monopolar resection 2/77 (2.6%) approaching significance (p=0.095).Conclusions: Cautery artifact may delay accurate staging at initial TURBT for large tumours by understaging up to 6% of patients.

Trimodality bladder-sparing approach versus radical cystectomy for invasive bladder cancer

2014 ◽  
Vol 13 (4) ◽  
pp. 428-437 ◽  
Author(s):  
Samy M. AlGizawy ◽  
Hoda H. Essa ◽  
Mostafa E. Abdel-Wanis ◽  
Ahmed M. Abdel Raheem
Keyword(s):  
Bladder Cancer ◽  
Radical Cystectomy ◽  
Phase Ii ◽  
Transurethral Resection ◽  
Residual Disease ◽  
Bladder Tumour ◽  
Phase Iii ◽  
Invasive Bladder Cancer ◽  
Combined Modality ◽  
Combined Chemoradiotherapy

AbstractPurposeTo compare the outcome among patients with invasive bladder cancer treated with cystectomy alone with outcome among those treated with combined-modality treatment in a randomised phase III trial.Patients and methodsPatients with histologically confirmed invasive non-metastatic bladder cancer T2-3, N0 and M0 were randomly assigned to two arms: Arm 1: of which all patients underwent radical cystectomy (RC) alone; and Arm 2, of which all patients were subjected to maximal transurethral resection of bladder tumour, followed 2 weeks later by combined chemoradiotherapy. The whole pelvis received 46 Gy in 23 fractions over 4·5 weeks. Chemotherapy was administered concomitantly with radiotherapy with: cisplatin 70 mg/m2 q. 3 weeks and Gemcitabine 300 mg/m2 D 1, 8 and 15 q. 3 weeks for two cycles. Patients who had complete response were shifted to phase II treatment: 20 Gy/10 fractions/2 weeks to the bladder. Patients with residual tumour underwent RC.ResultsOf the 80 patients assigned Arm 2, a visibly completed transurethral resection of the bladder tumour was possible in 48 patients (60%). Phase I of combined chemoradiotherapy (CCRT) was accomplished in 74 patients. Post-induction urologic evaluation revealed no evidence of disease in 62 patients (83·8%) and residual disease in 12 patients (16·2%). Phase II of CCRT was completed in 58 of the 62 patients. The median follow-up for all patients is 27 months (range: 4–49). The 3-year overall survival (OS) for the combined-modality group and for the surgery group were 61 and 63%, respectively (p = 0·425), whereas the disease-specific survival (DSS) for each group was 69 and 73%, respectively (p = 0·714). The 3-year OS with bladder preservation for Arm 2 patients was 50%.Multivariate analysis for the whole series showed that tumour stage and performance status (PS) were the only factors independently associated with DSS, although PS was the only factor independently associated with OS. In addition, residual disease after transurethral resection of the bladder tumour in Arm 2 patients was independently associated with both DSS and OS.Acute toxicity was moderate and most of the late toxicities were grade 2 with no grade 4 toxicity and no treatment-related deaths, none required cystectomy for bladder contraction.ConclusionThis study demonstrates that trimodality bladder-preserving approach represents a valid alternative for suitable patients. The OS and DSS rates of patients treated with trimodality bladder-preserving protocol are comparable to the results reported on patients treated with immediate radical cystectomy.

scholarly journals The Effect Of Obturator Nerve Block On Complications During Transurethral Resection Of Lateral Wall Located Bladder Tumours

2011 ◽  
Vol 21 (3) ◽  
pp. 129-133
Author(s):  
Zeki Tuncel Tekgül ◽  
Rauf Taner Divrik ◽  
Murat Turan ◽  
Esen Şimşek ◽  
Ersin Konyalıoğlu ◽  
...  
Keyword(s):  
Nerve Block ◽  
Transurethral Resection ◽  
Lateral Wall ◽  
Obturator Nerve ◽  
Obturator Nerve Block ◽  
Bladder Tumours
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