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- Title
Second Transurethral Resection of Bladder Tumour for the Treatment of Muscleinvasive Bladder Tumours.
- Authors
Zhang, J.; Yang, J. J.; Cai, X. A.
- Abstract
Objective: This work aims to evaluate the effectiveness of a second transurethral resection for muscleinvasive 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 followedup 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.
- Subjects
BLADDER tumors; TRANSURETHRAL prostatectomy; CANCER chemotherapy; COMPUTED tomography; URINARY tract infections; TUMOR treatment
- Publication
West Indian Medical Journal, 2013, Vol 62, Issue 9, p839
- ISSN
0043-3144
- Publication type
Article