Endoskopie 2008; 17(3): 59-63

Quality of transurethral resection in immediate and high risk primary non-muscle invasive bladder cancer

MUDr. Roman Tomaškin

Urologická klinika JLF UK, Martin

The aim of study was to evaluate the quality of primary transurethral resection of bladder tumour, to determine the incidence of residual

tumour (RT) and the impact of clinical and histopathological characteristics of primary tumour on the risk of occurence of RT. Consecutive

260 patients with intermediate and high risk primary non-muscle invasive bladder cancer were included in the study, repeat TUR

was performed in 124 patients. Gender, age, pT stage, grade, number and diameter of primary tumours, presence/absence of muscle in

TUR specimen and intravesical instillation of epirubicin within 6 hours after TUR were evaluated. Statistical univariate and multivariate

analysis was performed. In our cohort the incidence of RT was 40 % with 2.4 % incidence of muscle invasion revealed in reTUR specimen.

Significant predictors of RT were grade and unfavourable cystoscopic findings. Immediate intravesical epirubicin instillation did not

change the incidence of RT. The absence of muscle in primary TUR specimen did not lead to the increased incidence of RT.

Keywords: bladder neoplasms, transurethral resection, reTUR, residual tumour.

Published: March 1, 2009  Show citation