The value of extended good quality transurethral resection of bladder tumour in the treatment of the newly diagnosed bladder cancer

Objective: To report our experience for the initial management of patients with newly diagnosed bladder tumours using our team approach for each case and using an aggressive extended transurethral resection of bladder tumour (TURBT) in order to investigate the real need for a routine ‘second-look’ c...

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Autores principales:	Mohamed Adel Atta, Ahmed Fouad Kotb, Mohamed Sharafeldeen, Ahmed Elabbady, Mohamed Mohie Hashad
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Bladder cancer TURBT T1G3 Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/f98c20bdccfe46209a0f62db1c421664
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spelling	oai:doaj.org-article:f98c20bdccfe46209a0f62db1c4216642021-12-02T12:02:03ZThe value of extended good quality transurethral resection of bladder tumour in the treatment of the newly diagnosed bladder cancer2090-598X10.1016/j.aju.2016.10.003https://doaj.org/article/f98c20bdccfe46209a0f62db1c4216642017-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X1630095Xhttps://doaj.org/toc/2090-598XObjective: To report our experience for the initial management of patients with newly diagnosed bladder tumours using our team approach for each case and using an aggressive extended transurethral resection of bladder tumour (TURBT) in order to investigate the real need for a routine ‘second-look’ cystoscopy in the current era. Patients and methods: The study included 50 consecutive patients admitted to the urology department, of our tertiary care centre, for management of newly diagnosed bladder cancer. Exclusion criteria included past history of bladder tumour, palpable mass on bimanual examination under anaesthesia, presence of residual tumour at the end of resection, and patients with tumours of the bladder dome as thorough resection is difficult to achieve in this area without an attendant risk. Patients that had pathologically confirmed carcinoma in situ were also excluded. White-light cystoscopy was used in all of the cases. Extended TURBT was defined as resection of the whole tumour, resection of the tumour base and 1 cm of apparently normal bladder wall around the circumference of the tumour. Results: The median (range) age of the patients was 52 (39–60) years. After initial TURBT, 10 patients (20%) were identified as having muscle-invasive bladder cancer. Of the remaining 40 patients, three had low-grade Ta disease, and so second biopsies were not taken. The remaining 37 patients had T1, grade 2–3 disease and none of them had evident residual disease at the site of tumour resection. Conclusion: Re-staging TURBT could be safely omitted for select groups of patients. An experienced surgeon and teamwork, together with an extended TURBT can accurately achieve complete tumour resection, with accurate tumour staging, on initial resection.Mohamed Adel AttaAhmed Fouad KotbMohamed SharafeldeenAhmed ElabbadyMohamed Mohie HashadTaylor & Francis GrouparticleBladder cancerTURBTT1G3Diseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 1, Pp 60-63 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Bladder cancer TURBT T1G3 Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Bladder cancer TURBT T1G3 Diseases of the genitourinary system. Urology RC870-923 Mohamed Adel Atta Ahmed Fouad Kotb Mohamed Sharafeldeen Ahmed Elabbady Mohamed Mohie Hashad The value of extended good quality transurethral resection of bladder tumour in the treatment of the newly diagnosed bladder cancer
description	Objective: To report our experience for the initial management of patients with newly diagnosed bladder tumours using our team approach for each case and using an aggressive extended transurethral resection of bladder tumour (TURBT) in order to investigate the real need for a routine ‘second-look’ cystoscopy in the current era. Patients and methods: The study included 50 consecutive patients admitted to the urology department, of our tertiary care centre, for management of newly diagnosed bladder cancer. Exclusion criteria included past history of bladder tumour, palpable mass on bimanual examination under anaesthesia, presence of residual tumour at the end of resection, and patients with tumours of the bladder dome as thorough resection is difficult to achieve in this area without an attendant risk. Patients that had pathologically confirmed carcinoma in situ were also excluded. White-light cystoscopy was used in all of the cases. Extended TURBT was defined as resection of the whole tumour, resection of the tumour base and 1 cm of apparently normal bladder wall around the circumference of the tumour. Results: The median (range) age of the patients was 52 (39–60) years. After initial TURBT, 10 patients (20%) were identified as having muscle-invasive bladder cancer. Of the remaining 40 patients, three had low-grade Ta disease, and so second biopsies were not taken. The remaining 37 patients had T1, grade 2–3 disease and none of them had evident residual disease at the site of tumour resection. Conclusion: Re-staging TURBT could be safely omitted for select groups of patients. An experienced surgeon and teamwork, together with an extended TURBT can accurately achieve complete tumour resection, with accurate tumour staging, on initial resection.
format	article
author	Mohamed Adel Atta Ahmed Fouad Kotb Mohamed Sharafeldeen Ahmed Elabbady Mohamed Mohie Hashad
author_facet	Mohamed Adel Atta Ahmed Fouad Kotb Mohamed Sharafeldeen Ahmed Elabbady Mohamed Mohie Hashad
author_sort	Mohamed Adel Atta
title	The value of extended good quality transurethral resection of bladder tumour in the treatment of the newly diagnosed bladder cancer
title_short	The value of extended good quality transurethral resection of bladder tumour in the treatment of the newly diagnosed bladder cancer
title_full	The value of extended good quality transurethral resection of bladder tumour in the treatment of the newly diagnosed bladder cancer
title_fullStr	The value of extended good quality transurethral resection of bladder tumour in the treatment of the newly diagnosed bladder cancer
title_full_unstemmed	The value of extended good quality transurethral resection of bladder tumour in the treatment of the newly diagnosed bladder cancer
title_sort	value of extended good quality transurethral resection of bladder tumour in the treatment of the newly diagnosed bladder cancer
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/f98c20bdccfe46209a0f62db1c421664
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The value of extended good quality transurethral resection of bladder tumour in the treatment of the newly diagnosed bladder cancer

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