Second Transurethral Resection of Bladder Tumour for the Treatment of Muscle-invasive Bladder Tumours

Journal Authors:

J Zhang

JJ Yang

XA Cai

Issue:

Vol 62, Issue 9: Dec (2013)

DOI:

10.7727/wimj.2013.058

ABSTRACT

Objective: This work aims to evaluate the effectiveness of a second transurethral resection for muscle-invasive bladder tumours. The clinical literature of 15 cases of patients with muscle-invasive bladder cancer treated by second transurethral resection of bladder tumours (TURBT) was analysed.

Methods: The operation was based on the principle of TURBT down to the fatty layer outside the bladder wall. A second transurethral resection was performed four to six weeks after the initial resection. All patients received intravesical chemotherapy postoperation. Fifteen cases were followed-up

for three to 26 months, with a mean period of 14 months.

Results: After the second transurethral resection, residual tumours were found in two patients. All patients underwent computed tomography scan and biopsy. No patient had a recurrence of the tumour. Eighty per cent of the patients had normal bladder function and 20% had mild-to-moderate lower

urinary tract symptoms. All patients had a high quality of life.

Conclusions: A second TURBT is suitable for muscle-invasive bladder cancer when bladder preservation is planned as it prolongs the survival time and improves the patients’ quality of life.

Received:

27 Feb, 2013

Accepted:

22 Apr, 2013

Keywords:

Conservation treatment

muscle-invasive bladder tumour

transurethral resection

TURBT

PDF Attachment:

zhang_et_al-second_turbt.pdf

e-Published: 18 Feb, 2014

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The University of the West Indies, Mona

West Indian Medical Journal
ISSN: 2309-5830