scholarly journals En-bloc resection of urinary bladder tumour – a prospective controlled multicentre observational study

Author(s):  
Sławomir Poletajew ◽  
Wojciech Krajewski ◽  
Paweł Stelmach ◽  
Jan Adamowicz ◽  
Łukasz Nowak ◽  
...  
2006 ◽  
Vol 14 (1) ◽  
pp. 69-73 ◽  
Author(s):  
D. C. Winter ◽  
R. Walsh ◽  
G. Lee ◽  
D. Kiely ◽  
M. G. O’Riordain ◽  
...  

2021 ◽  
pp. 205141582110499
Author(s):  
Raghav Varma ◽  
Abdalla Deb ◽  
Dorina Roy ◽  
Ali Ahmed

Introduction: Our experience with the presence of detrusor muscle (DM) following Trans-Urethral Resection of Bladder Tumour (TURBT). Objectives: To evaluate the presence of DM in primary TURBT specimens as a quality improvement exercise in Frimley Park Hospital, UK. And to assess if the level of the surgeon has impact on outcomes. Methods: Retrospective and prospective analysis of the electronic records from a single urology centre, servicing a group of urologists. Data collected over three consecutive audit loops between January 2014 and May 2018. Results: A total of 301 cases were performed under the care of seven consultant urologists. Analysis revealed a significant improvement in the overall quality of resections from 39% to 66% (50–84% for intermediate and high grade) after the introduction of the following interventions: (1) analysis and improved awareness of current practice; (2) introduction of European Association of Urology (EAU) guidelines by separating samples and sending a second specimen pot marked as bladder tumour base to look for DM; (3) dedicated urologists with an interest in bladder cancer performing en-bloc resection technique in appropriate cases. Conclusion: Through our closed-loop audits, we have demonstrated a considerable improvement in the quality of resections, resulting in accurate staging from the initial resection. This could in turn lead to improved over all prognoses and negating the need for re-resection in all cases of high-risk non-muscle invasive bladder cancer (NMIBC). Level of evidence: 3


InterConf ◽  
2021 ◽  
pp. 290-298
Author(s):  
Ivan Vladanov ◽  
Alexei Plesacov ◽  
Vitalii Ghicavii

Transurethral resection is very important not only for diagnosis and treatment of NMIBC, but also for its management. The application field of transurethral resection includes establishing histological diagnosis, determination of prognostic factors including the tumor stage, complete resection of all detected tumors of urinary bladder. Transurethral resection of bladder tumor (TURBT) is the standard technique for the diagnosis and treatment of non-muscle invasive bladder cancer. This method has also some limitations. One of the limitations is the insufficient assessment of the resection depth. It leads to the necessity of intravesical tumor fragmentation, but its disadvantage is that it limits the histopathological evaluation. In order to improve the treatment outcome for patients with non-muscular invasive bladder tumors, several new techniques such as En-bloc resection were proposed.


2019 ◽  
Vol 38 (3) ◽  
pp. 703-708 ◽  
Author(s):  
Rodolfo Hurle ◽  
Paolo Casale ◽  
Massimo Lazzeri ◽  
Marco Paciotti ◽  
Alberto Saita ◽  
...  

2006 ◽  
Vol 14 (2) ◽  
pp. 441-446 ◽  
Author(s):  
D. C. Winter ◽  
R. Walsh ◽  
G. Lee ◽  
D. Kiely ◽  
M. G. O’Riordain ◽  
...  

2018 ◽  
Vol 37 (9) ◽  
pp. 1879-1887 ◽  
Author(s):  
Jeremy Yuen-Chun Teoh ◽  
◽  
Chak-Lam Cho ◽  
Yong Wei ◽  
Shuji Isotani ◽  
...  

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