Transurethral resection of the bladder tumour (TURBT) for non-muscle invasive bladder cancer: basic skills

International Journal of Urology : Official Journal of the Japanese Urological Association
Hiroshi Furuse, Seiichiro Ozono

Abstract

Transurethral resection of the bladder tumour (TURBT) is the standard surgical procedure for non-muscle invasive bladder cancer. We believe that all urologists should be trained in this procedure. This DVD provides an overview of TURBT with particular focus on basic skills, including basic surgical techniques such as the obturator nerve block. Important basic surgical skills required for complete TURBT in non-muscle invasive bladder cancer are: (i) resection of all visible tumors; (ii) resection of apparently normal mucosa on the border of the tumor; (iii) resection of the muscle layer at the base of the tumor until normal muscle fibers are visible; (iv) in applicable cases, random biopsy of apparently normal urothelium of the bladder wall and transurethral resection (TUR) biopsy of both sides of the prostatic urethra; and (v) when possible, after these procedures are completed, a different operating surgeon should inspect the bladder lumen to confirm that there are no remaining tumors. In particular, sampling resection should be implemented in apparently normal mucosa for approximately 1 cm around the tumor, and at the base of the tumor down to the superficial muscle layer. Resected specimens should be examined histopathologic...Continue Reading

Citations

Dec 23, 2015·Urology Annals·Ashish Kumar SainiSiddhartha Dutta Gupta
Jul 5, 2016·International Journal of Urology : Official Journal of the Japanese Urological Association·Yoshinobu KubotaUNKNOWN Committee for Establishment of the Clinical Practice Guideline for the Management of Bladder Cancer and the Japanese Urologi
Aug 5, 2011·Current Opinion in Urology·Johannes Falke, J Alfred Witjes
Mar 14, 2020·Photodiagnosis and Photodynamic Therapy·Kamil BochynekAleksandra Kawczyk-Krupka
Sep 20, 2020·Urologic Oncology·Müslim Doğan DeğerGüven Aslan

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