Denudation of bladder mucos by needle electrode in the treat ment of superficial peri-ureteral orifice bladder tumors
Li Jianc hang
Zhang Lingjun
Sun Shengkun
Xu Axiang
Yang Guoqiang
Xu Yong
Chen Guangfu
Fu Weijun
Zhang Xu
Abstract：To-investigate-the-feasibility-and-effect-of-mucosa-denudati-on-during-transurethral-needle-e-lectrode-resecti-on-of-bladder-tumor-(TUNER--BT)in-the-treat-ment-of-superficial-peri--ureteral-orifice-bladder-tumors-.-Methods-:5-patients-with-bladder-tumors-l-ocated-1-cm-peri--ureteral-orifice-were-incl-uded-.The-patients-recei-ved-epi-dural-anesthesia-.After-electrocautery-of-the-nor-mal-bladder-mucosa-1-cm-a-way-from-the-tumor-by-coagulati-on-cur-rent-,the-needle-tip-was-inserted-into-the-sub-mucosa-layer-and-the-bladder-tumor-as-well-as-the-mucosa-was-stri-pped-en-bloc-.The-operati-on-time-,obturator-nerve-reflex-,peri-operati-ve-complications-,and-pathol-ogic-stage-of-the-tumors-were-observed-.Results-:5-peri--ureteral-orifice-bladder-tumors-were-resected-with-the-operati-ve-time-of-5-1-5-min-per-tumor-(range-,7??8-±6??2-min-).Obturator-nerve-blockade-is-not-necessary-in-any-case-and-no-obturator-nerve-reflex-occurred-.Peri-operati-ve-bl-ood-l-oss-was-mini-mal-.The-urine-drainage-retained-24-48-h-.The-pathol-ogic-stage-of-tumors-sho-wed-4-in-Ta-,and-1-in-T1-.No-tumor-recurrence-and-no-complications-such-as-stricture-of-uretero-vesical-orifice-,-hydronephrosis-or-vesicoureteral-refl-ux-occurred-during-a-follow--up-of-3-6-months-.Conclusions-:Denudati-on-of-the-bladder-mucosa-by-TUNER--BT-is-a-si-mple-and-reliable-method-during-treat-ment-of-superficial-bladder-tumors-l-oca-ted-near-the-ureteral-orifice-.Ho-wever-,the-long-ter-m-oncol-ogic-outco-mes-re-main-to-be-defined-.
Keywords：bladder tumorurothelial carcinomaneedle electrodetransurethral resection of the bladder tumorureter orifice
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 171-174 )