Bipolar plasma kinetic enucleation of non-muscle-invasive bladder cancer: Initial experience with a novel technique

Objective: To assess the effectiveness and safety of bipolar plasma kinetic energy for en bloc enucleation of non-muscle-invasive bladder cancer (NMIBC). Patients and methods: In all, 46 patients diagnosed with suspected NMIBC were included. All patients were diagnosed using ultrasonography, compute...

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Autores principales:	Ahmed A. Abotaleb, Wael S. Kandeel, Basheer Elmohamady, Yasser A. Noureldin, Waleed El-Shaer, Ahmed Sebaey
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/95471a2bd953409c82374562d8584890
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spelling	oai:doaj.org-article:95471a2bd953409c82374562d85848902021-12-02T13:03:31ZBipolar plasma kinetic enucleation of non-muscle-invasive bladder cancer: Initial experience with a novel technique2090-598X10.1016/j.aju.2017.07.001https://doaj.org/article/95471a2bd953409c82374562d85848902017-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X1730075Xhttps://doaj.org/toc/2090-598XObjective: To assess the effectiveness and safety of bipolar plasma kinetic energy for en bloc enucleation of non-muscle-invasive bladder cancer (NMIBC). Patients and methods: In all, 46 patients diagnosed with suspected NMIBC were included. All patients were diagnosed using ultrasonography, computed tomography, and diagnostic cystoscopy, and then underwent bipolar plasma kinetic enucleation of bladder tumour (PKEBT). At the end of the procedure, all patients had a single-dose (40Â mg in 40Â mL saline) intravesical installation of mitomycin C (<6Â h after bipolar PKEBT). Follow-up diagnostic cystoscopy was performed at 3, 6, and 12Â months. Results: The mean (SD) enucleation time was 17 (5.4)Â min, operative time was 27.9 (11.4)Â min, haemoglobin drop was 1.3 (0.9)Â g/dL, postoperative irrigation time was 1.7 (2.3)Â h, and hospital stay was 35.4 (13)Â h. There was intraoperative bleeding in three patients, with one requiring blood transfusion. There were no other perioperative complications. At the 1-month follow-up, six (13%) patients were diagnosed with residual tumour and underwent repeat bipolar PKEBT. The overall recurrence rate at 12Â monthsâ follow-up was 15.2%. Conclusion: Bipolar PKEBT is an effective procedure for managing NMIBC, as it preserves the entire lamina propria and detrusor muscle in well-intact specimens, with negligible perioperative complications. Keywords: NMIBC, non-invasive muscle bladder cancer, PKEBT, plasma kinetic enucleation of bladder tumour, TUR, transurethral resectionAhmed A. AbotalebWael S. KandeelBasheer ElmohamadyYasser A. NoureldinWaleed El-ShaerAhmed SebaeyTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 4, Pp 355-359 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Ahmed A. Abotaleb Wael S. Kandeel Basheer Elmohamady Yasser A. Noureldin Waleed El-Shaer Ahmed Sebaey Bipolar plasma kinetic enucleation of non-muscle-invasive bladder cancer: Initial experience with a novel technique
description	Objective: To assess the effectiveness and safety of bipolar plasma kinetic energy for en bloc enucleation of non-muscle-invasive bladder cancer (NMIBC). Patients and methods: In all, 46 patients diagnosed with suspected NMIBC were included. All patients were diagnosed using ultrasonography, computed tomography, and diagnostic cystoscopy, and then underwent bipolar plasma kinetic enucleation of bladder tumour (PKEBT). At the end of the procedure, all patients had a single-dose (40Â mg in 40Â mL saline) intravesical installation of mitomycin C (<6Â h after bipolar PKEBT). Follow-up diagnostic cystoscopy was performed at 3, 6, and 12Â months. Results: The mean (SD) enucleation time was 17 (5.4)Â min, operative time was 27.9 (11.4)Â min, haemoglobin drop was 1.3 (0.9)Â g/dL, postoperative irrigation time was 1.7 (2.3)Â h, and hospital stay was 35.4 (13)Â h. There was intraoperative bleeding in three patients, with one requiring blood transfusion. There were no other perioperative complications. At the 1-month follow-up, six (13%) patients were diagnosed with residual tumour and underwent repeat bipolar PKEBT. The overall recurrence rate at 12Â monthsâ follow-up was 15.2%. Conclusion: Bipolar PKEBT is an effective procedure for managing NMIBC, as it preserves the entire lamina propria and detrusor muscle in well-intact specimens, with negligible perioperative complications. Keywords: NMIBC, non-invasive muscle bladder cancer, PKEBT, plasma kinetic enucleation of bladder tumour, TUR, transurethral resection
format	article
author	Ahmed A. Abotaleb Wael S. Kandeel Basheer Elmohamady Yasser A. Noureldin Waleed El-Shaer Ahmed Sebaey
author_facet	Ahmed A. Abotaleb Wael S. Kandeel Basheer Elmohamady Yasser A. Noureldin Waleed El-Shaer Ahmed Sebaey
author_sort	Ahmed A. Abotaleb
title	Bipolar plasma kinetic enucleation of non-muscle-invasive bladder cancer: Initial experience with a novel technique
title_short	Bipolar plasma kinetic enucleation of non-muscle-invasive bladder cancer: Initial experience with a novel technique
title_full	Bipolar plasma kinetic enucleation of non-muscle-invasive bladder cancer: Initial experience with a novel technique
title_fullStr	Bipolar plasma kinetic enucleation of non-muscle-invasive bladder cancer: Initial experience with a novel technique
title_full_unstemmed	Bipolar plasma kinetic enucleation of non-muscle-invasive bladder cancer: Initial experience with a novel technique
title_sort	bipolar plasma kinetic enucleation of non-muscle-invasive bladder cancer: initial experience with a novel technique
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/95471a2bd953409c82374562d8584890
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Bipolar plasma kinetic enucleation of non-muscle-invasive bladder cancer: Initial experience with a novel technique

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