Repeated transurethral resection of bladder tumor for non-muscle invasive bladder cancer
Kim Hong
Li Chengyang
Wang Xiang
Tao Zhiwei
Zhou Liquan
Wang Xiaoming
Yang Zhanbin
Deng Yaoliang
Abstract：Objective:To investigate the clinical efficacy of the first transurethral resection of bladder tumor (TURBT)vs.repeated TURBT (Re-TURBT)in the treatment of non-muscle invasive bladder cancer and study the associated risk factors influencing the tumor positive rate of Re-TURBT.Methods:The clinical data of 201 cases of non-muscle invasive bladder cancer undergoing surgical treatments in our hospital from July 2007 to December 2012 were retrospectively analyzed,and divided into two groups:1 69 patients undergoing conventional TURBT and 32 ca-ses undergoing Re-TURBT.Postoperative recurrence rate,operation time,postoperative hospital stay,and indwell-ing catheter time were compared between two groups.The associated risk factors influencing tumor positive rate of Re-TURBT were analyzed.Results:There was significant difference in postoperative recurrence rate between two groups (χ2 =3.918,P <0.05 ).There was no significant difference in operation time (t = -0.1 95,P =0.846 ), hospital stay (t =1.423,P =0.1 56),and indwelling catheter time (t =-0.466,P =0.642)between two groups. The logistic binary regression analysis showed the first TURBTfor ≥ T1 (χ2 =4.891,P =0.04),high grade tumors (G2 and G3 )(χ2 =1.903,P =0.001),tumor size more than 3 cm (χ2 =9.718,P =0.004),and multiple tumors (≥ 2)(χ2 =6.203,P =0.02)were independent risk factors of positive rate of Re-TURBT.The pathological grade of the first TURBT had a great contribution to the regression equation.Conclusions:Re-TURBT has the advantages of simple operation,safety in operation,short hospitalization time,reducd postoperative recurrence rate,with re-gard to the first TURBT for multiple tumors,larger tumors (≥ 3 cm),high grade tumors and high stage tumors (≥T1 )etc,especially the first TURBT for high grade tumor,Re-TURBT is given regularly.
Keywords：tumors of the bladdertransurethral resection of bladder tumorrepeated transurethral resection of the bladder tumorpositive rate of tumor resection
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 150-154 )