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West Indian Medical Journal

Print version ISSN 0043-3144

Abstract

ZHANG, J; YANG, JJ  and  CAI, XA. Second transurethral resection of bladder tumour for the treatment of muscle-invasive bladder tumours. West Indian med. j. [online]. 2013, vol.62, n.9, pp. 839-843. ISSN 0043-3144.

OBJECTIVE: This work aims to evaluate the effectiveness of a second transurethral resection for muscle-invasive 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 followed-up 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.

Keywords : Conservation treatment; muscle-invasive bladder tumour; transurethral resection; TURBT.

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