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The Value of Second Look Transurethral Resection in the Evaluation and Management of Patients with Bladder Tumors | ||
| Iraqi Postgraduate Medical Journal | ||
| Article 1, Volume 7, Issue 2, 2008, Pages 168-173 PDF (0 K) | ||
| Author | ||
| Tariq Aziz shahatha Khemees | ||
| Abstract | ||
| ABSTRACT: BACKGROUND: The role of a routine second transurethral resection in evaluating and management of patients with bladder tumor is defined. PATIENTS AND METHOD: From January 2004 to October 2006, 100 patients with new or recurrent bladder tumors underwent repeat transurethral resection within 4-6 weeks after the initial resection, and the results, including the presence of residual tumor and tumor stage, were compared. RESULTS: Of 100 cases, 28 (28%) had no tumor and 72(72%) had residual tumor on repeat TUR. Out of 64 cases with superficial (Ta, Tis, T1) bladder tumors, 20(31%) had residual non-invasive tumor and 13 (20%) were upstaged to muscle invasive tumor. Among 36 patients with a muscle invasive tumor, 10(28%) had no residual tumor on re-TURBT. Results of second resection had changed treatment option in 39 patients (39%) from the initial treatment recommendation which was given after the first TUR. CONCLUSION: many patients with bladder tumor have residual tumor present after an initial TUR. Routine repeat resection is advised to control noninvasive tumors and to detect residual tumor invasion. | ||
| Keywords | ||
| bladder tumor; second look TURBT; treatment option | ||
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