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- Title
Influences of Different Operative Methods on the Recurrence Rate of Non-Muscle-Invasive Bladder Cancer.
- Authors
Shoubin Li; Yi Jia; Chunhong Yu; Helong Xiao; Liuxiong Guo; Fuzhen Sun; Dong Wei; Panying Zhang; Jingpo Li; J. unjiang Liu; Li, Shoubin; Jia, Yi; Yu, Chunhong; Xiao, Helong; Guo, Liuxiong; Sun, Fuzhen; Wei, Dong; Zhang, Panying; Li, Jingpo; Liu, Junjiang
- Abstract
<bold>Purpose: </bold>To compare the influence of three operative approaches [transurethral en bloc resection of bladder tumor by pin-shaped electrode (pin-ERBT), transurethral resection of bladder tumor (TURBT) and transurethral holmium laser resection of bladder tumor (HoLRBT)] on the recurrence rate of non-muscle-invasive bladder cancer (NMIBC) at low dimension (i.e. diameter below 3 cm).<bold>Materials and Methods: </bold>A retrospective analysis was conducted for a total of 115 patients affected by solitary NMIBC, with a diameter <3 cm, who were submitted to operation between March 2013 to May 2017. The patients were divided according to the operative method applied (pin-ERBT, TURBT and HoLRBT groups, respectively). The 2-year recurrence rate was compared among the three groups, and multivariat Cox hazard model analysis was applied to analyze the influencing factor(s) for postoperative recurrence.<bold>Results: </bold>The 2-year recurrence rate was 10.0% in ERBT, 38.5% in TURBT and 40.0% in HoLRBT group, with a significant difference (P =0.014). According to the Cox hazard model analysis, age(HR=1.058, 95% CI: 1.019~1.098,P=0.003), operative method(HR=2.974,6.508, 95% CI: 0.862~10.255,1.657~25.566, P=0.023), smoking(HR=2.399, 95% CI: 1.147~5.017, P=0.020) and pathological grade(HR=2.012,95% CI: 1.279~3.165, P=0.002) were risk factors for postoperative recurrence of bladder cancer.<bold>Conclusion: </bold>Pin-ERBT can prominently decrease the postoperative recurrence rate of solitary NMIBC with a diameter <3 cm.
- Subjects
TRANSURETHRAL prostatectomy; BLADDER cancer; PREOPERATIVE risk factors; LASER surgery; CANCER relapse; TUMOR surgery; BLADDER tumors; CYSTECTOMY; LASERS; RETROSPECTIVE studies; UROLOGICAL surgery
- Publication
Urology Journal, 2021, Vol 18, Issue 4, p411
- ISSN
1735-1308
- Publication type
journal article
- DOI
10.22037/uj.v16i7.5965