Clinical study on the diagnostic value and influencing factors of first transurethral resection of bladder tumor
Abstract：Objective To investigate the diagnostic value and influencing factors of the first transurethral re -section of bladder tumor(TURBT).Methods The clinical data was retrospectively analyzed on 112 cases of non-muscle invasive bladder cancer , pathological results of bladder cancer were determined by the first TURBT , and then the pathological results were compared between the first TURBT and the second transurethral resection (93 cases) or partial cystectomy(9 cases) or radical cystectomy (10 cases) after 2 to 6 weeks.Results The tissue morphology changes were found in 23 patients and the absence of the detrusor muscle in 35 patients,relying on the specimens col-lected during the first TURBT .After first TURBT tumor residues were found in 47 patients , and the pathological re-sults were identical in 84 patients and were under-staging in 28 patients by comparison .The risk of tumour progres-sion,the tumor locations ,the method of transurethral resection and the operator′s experience were apparently related to tumor residues after first TURBT(P<0.05).The degree of relevance was as follows ,from more to less,by logistic re-gression analysis:the risk of tumour progression ,the method of transurethral resection ,the operator′s experience,the tumor locations .The method of transurethral resection and the operator′s experience were apparently related to the specimens lacked muscle tissue ( P<0.05 ) .The transurethral device were apparently related to tissue morphology changes.The specimens lacked muscle tissue and the tissue morphology changes were apparently related to pathologi -cal results from the first TURBT ( P<0.05 ) .Conclusion There are still shortcomings with the first TURBT ,such as the high rate of tumor residue and pathological underestimate ,the poor quality of specimens .A experienced urologist is advocated to adopt the diagnostic TURBT by bipolar plasmakinetic scalpel system .It is necessary for high-risk tumors to receive a second TURBT .
Keywords：Transurethral resection of bladder tumor (TURBT)Diagnostic valueInfluencing factors
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 1168-1172,1173 )