scholarly journals Systemic Tumor Seeding Secondary to Peritonitis due to the Immediate Postoperative Intravesical Instillation of Pirarubicin After Intravesical Explosion Induced Bladder Perforation During Bipolar Transurethral Resection of Bladder Tumors

2019 ◽  
Vol 10 (4) ◽  
pp. 101-105
Author(s):  
Kenji Ohgaki ◽  
Masatoshi Sakamoto
Keyword(s):  
Transurethral Resection ◽  
Intravesical Instillation ◽  
Bladder Perforation ◽  
Bladder Tumors ◽  
Tumor Seeding

Gender and Body Mass Index as Risk Factors for Bladder Perforation During Primary Transurethral Resection of Bladder Tumors

2012 ◽  
Vol 187 (5) ◽  
pp. 1566-1570 ◽  
Author(s):  
Kathleen Herkommer ◽  
Christian Hofer ◽  
Juergen E. Gschwend ◽  
Martina Kron ◽  
Uwe Treiber
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Body Mass ◽  
Transurethral Resection ◽  
Bladder Perforation ◽  
Bladder Tumors

scholarly journals Intravesical Instillation of Mitomycin C: A Cause of Delayed Bladder Perforation?

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Marta Penna ◽  
Kiki Mistry ◽  
Pallavi Pal ◽  
Chitale Sudhanshu
Keyword(s):  
Early Detection ◽  
Mitomycin C ◽  
Conservative Management ◽  
Transurethral Resection ◽  
Relevant Literature ◽  
Bladder Tumour ◽  
Intravesical Instillation ◽  
Bladder Perforation

We present a case of bladder perforation secondary to intravesical instillation of mitomycin C following transurethral resection of bladder tumour (TURBT) and the role of early detection leading to successful conservative management. We also review the key relevant literature.

Surgical Tip to Prevent Bladder Perforation During Transurethral Resection of Bladder Tumors

Urology ◽  
2008 ◽  
Vol 72 (3) ◽  
pp. 667-668 ◽  
Author(s):  
Wen Ming Chen ◽  
Chen Li Cheng ◽  
Chi Rei Yang ◽  
Vernoryn Chung
Keyword(s):  
Transurethral Resection ◽  
Bladder Perforation ◽  
Bladder Tumors

DOES THE MANAGEMENT OF BLADDER PERFORATION DURING TRANSURETHRAL RESECTION OF SUPERFICIAL BLADDER TUMORS PREDISPOSE TO EXTRAVESICAL TUMOR RECURRENCE?

2005 ◽  
Vol 173 (6) ◽  
pp. 1908-1911 ◽  
Author(s):  
ANDREAS SKOLARIKOS ◽  
MICHAEL CHRISOFOS ◽  
NIKOLAOS FERAKIS ◽  
ATHANASIOS PAPATSORIS ◽  
ATHANASIOS DELLIS ◽  
...  
Keyword(s):  
Transurethral Resection ◽  
Tumor Recurrence ◽  
Bladder Perforation ◽  
Bladder Tumors

Comparison of Endoscopic Versus Percutaneous Approach (Blind) to Control the Obturator Jerk in Patients Undergoing Transurethral Resection of Bladder Tumors Under Spinal Anesthesia

2020 ◽  
Vol 21 (2) ◽  
pp. 120-126
Author(s):  
Alamgir Md ◽  
Karim Km Monwarul ◽  
Nandy SP ◽  
Md Monwar Ul Haque ◽  
Sakhawat Mahmud Khan
Keyword(s):  
Statistical Analysis ◽  
Spinal Anesthesia ◽  
Transurethral Resection ◽  
Bladder Tumor ◽  
Complete Resection ◽  
Satisfaction Level ◽  
Bladder Tumors ◽  
Percutaneous Approach ◽  
Group A ◽  
Group B

Objective: The aim of the study was to compare the endoscopic versus percutaneous approach (blind) to control the obturator jerk in patients undergoing transurethral resection of bladder tumors under spinal anesthesia. Materials and methods: A prospective observational study was performed in Department of Urology, Chittagong Medical College, Chittagong and some Private Hospitals (Ltd.) in Chittagong city during the period from January 2016 to June 2016. Total 100 patients were grouped into two, on alternate basis. Fifty(50) patients in group- A conducted with endoscopic infiltration with 20ml of injection 2% lignocaine at the bladder tumor base and another 50 patients in group-B, conducted with blind percutaneous technique with same drug and volume ( 20ml inj.2% lignocaine) to control obturator jerk. Severity of obturator jerk in both procedure, percentage of complete resection, ONB procedure related time, ONB procedure related complications and surgeon’s satisfaction level were recorded and compared between two approaches. Chi-square analysis was performed to compare the ease of approach and outcome of the two techniques. A value of P<0.05 was considered statistically significant. Results: The mean age of the patients were 59.44+7.681. In group-A, 50 patients were given inj. 2% lignocaine endoscopically at the bladder tumor base to control obturator jerk. Twenty five patients (50%) had no jerk, 20 patients(40%) developed mild jerk and 5 patients (10%) developed moderate jerk and no patients developed severe jerk. Second attempt was taken in moderate jerk patients (5 patients) and succeeded in 3(6%) patients. So, in this group, complete resection of bladder tumor was possible in 96%. In group B, complete resection of bladder tumor was possible in 84%. Statistical analysis was done and result is significant in case of endoscopic procedure to control obturator jerk(p<0.05). ONB Procedure related time was <20 mins. in 32(64%) patients in group-A and 45 (90%) patients in group- B. 20 mins. or more time was required for 18 (36%) patients in group-A and 5 (10%) patients in group-B. Statistical analysis was done and result is significant in percutaneous (blind) technique (p<0.05). ONB procedure related complications in group-A and Group –B were noted. Statistical analysis was done and result is insignificant (p>0.05). Surgeons satisfaction level were recorded on the basis of obturator jerk block and complete resection and which was statistically significant in favour of endoscopy group (p<0.05). Conclusion: It is concluded that endoscopic injection of 2% lignocaine into the bladder tumor base is better in case of jerk elimination and complete resection than blind percutaneous approach. Though, ONB procedure related time was significantly less in percutaneous group. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.120-126

Comparison of Thulium Laser Resection of Bladder Tumors and Conventional Transurethral Resection of Bladder Tumors for Non-Muscle-Invasive Bladder Cancer

2021 ◽  
pp. 1-6
Author(s):  
Zheng Liu ◽  
Yucong Zhang ◽  
Guoliang Sun ◽  
Wei Ouyang ◽  
Shen Wang ◽  
...  
Keyword(s):  
Bladder Cancer ◽  
Transurethral Resection ◽  
Invasive Bladder Cancer ◽  
Perioperative Outcomes ◽  
Thulium Laser ◽  
Bladder Tumors ◽  
Muscle Invasive Bladder Cancer ◽  
Laser Resection ◽  
Baseline Characteristics ◽  
Muscle Invasive

<b><i>Introduction:</i></b> The thulium laser resection of bladder tumors (TmLRBT) was increasingly used in the treatment of non-muscle-invasive bladder cancer (NMIBC) recently, and here we report the relevant outcomes of our institution to evaluate its efficacy and safety. <b><i>Methods:</i></b> We retrospectively collected the data of NMIBC patients who underwent either TmLRBT or transurethral resection of bladder tumor (TURBT). The baseline characteristics and perioperative outcomes were compared in these 2 groups. <b><i>Results:</i></b> The TmLRBT had a higher rate of detrusor identification than TURBT (97.4 vs. 87.6%, <i>p</i> = 0.001). After screening, 134 patients who underwent TmLRBT and 152 patients who received TURBT were enrolled in the analysis, and their baseline characteristics were similar. During the TURBT, 24 (15.8%) obturator nerve reflexes and 9 (5.9%) bladder perforations occurred, while none happened during the TmLRBT. After surgery, TmLRBT patients had fewer postoperative gross hematuria (38.1 vs. 96.7%, <i>p</i> &#x3c; 0.001) and postoperative irrigation (27.6 vs. 92.7%, <i>p</i> &#x3c; 0.001), and its irrigation duration was significantly shorter (2.3 vs. 3.3 day, <i>p</i> &#x3c; 0.001). During the follow-up, no significant difference in the recurrence rate was detected (<i>p</i> = 0.315). <b><i>Conclusions:</i></b> TmLRBT is a safer technique than conventional TURBT in the treatment of NMIBC, and it could offer better specimens for pathologic assessment while the cancer control was not compromised.

scholarly journals The impact of completeness of last transurethral resection of bladder tumors on the outcomes of radical cystectomy

2019 ◽  
Vol 37 (12) ◽  
pp. 2707-2714
Author(s):  
Stefania Zamboni ◽  
Marco Moschini ◽  
Andrea Gallina ◽  
Renzo Colombo ◽  
Francesco Montorsi ◽  
...  
Keyword(s):  
Radical Cystectomy ◽  
Transurethral Resection ◽  
Bladder Tumors ◽  
The Impact
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