TY - JOUR
T1 - Approaching the optimal transurethral resection of a bladder tumor
AU - Jurewicz, Michael
AU - Soloway, Mark S.
PY - 2014/6
Y1 - 2014/6
N2 - A complete transurethral resection of a bladder tumor (TURBT) is essential for adequately diagnosing, staging, and treating bladder cancer. A TURBT is deceptively difficult and is a highly underappreciated procedure. An incomplete resection is the major reason for the high incidence of recurrence following initial transurethral resection and thus to the suboptimal care of our patients. Our objective was to review the preoperative, intraoperative, and postoperative considerations for performing an optimal TURBT. The European Association of Urology, Society of International Urology, and The American Urological Association guidelines emphasize a complete resection of all visible tumor during a TURBT. This review will emphasize the various techniques and treatments, including photodynamic cystoscopy, intravesical chemotherapy, and a perioperative checklist, that can be used to help to enable a complete resection and reduce the recurrence rate. A Medline/PubMed search was completed for original and review articles related to transurethral resection and the treatment of non-muscle-invasive bladder cancer. The major findings were analyzed and are presented from large prospective, retrospective, and review studies.
AB - A complete transurethral resection of a bladder tumor (TURBT) is essential for adequately diagnosing, staging, and treating bladder cancer. A TURBT is deceptively difficult and is a highly underappreciated procedure. An incomplete resection is the major reason for the high incidence of recurrence following initial transurethral resection and thus to the suboptimal care of our patients. Our objective was to review the preoperative, intraoperative, and postoperative considerations for performing an optimal TURBT. The European Association of Urology, Society of International Urology, and The American Urological Association guidelines emphasize a complete resection of all visible tumor during a TURBT. This review will emphasize the various techniques and treatments, including photodynamic cystoscopy, intravesical chemotherapy, and a perioperative checklist, that can be used to help to enable a complete resection and reduce the recurrence rate. A Medline/PubMed search was completed for original and review articles related to transurethral resection and the treatment of non-muscle-invasive bladder cancer. The major findings were analyzed and are presented from large prospective, retrospective, and review studies.
KW - Bladder cancer
KW - Checklist
KW - Fuorescence cystoscopy
KW - Narrow band imaging
KW - Transurethral resection
UR - http://www.scopus.com/inward/record.url?scp=84902656398&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84902656398&partnerID=8YFLogxK
U2 - 10.5152/tud.2014.94715
DO - 10.5152/tud.2014.94715
M3 - Article
AN - SCOPUS:84902656398
VL - 40
SP - 73
EP - 77
JO - Turk Uroloji Dergisi
JF - Turk Uroloji Dergisi
SN - 1300-5804
IS - 2
ER -