Role of Repeat Transurethral Resection of Bladder Tumours after Primary Resection: A Retrospective Cross-sectional Study
Introduction: Bladder Cancer (BC) is the second most common cancer of the urinary tract. Initial treatment by Transurethral Resection of Bladder Tumour (TURBT) helps guide treatment. In High Grade (HG) and invasive cancers, improved staging is achieved by performing a repeat (rTURBT). Aim: To e...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-02-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/14540/46547_CE(Ra1)_P(AK)_PF1(SY_OM)_PFA_(OM)_PN(KM).pdf |
| _version_ | 1831674156171657216 |
|---|---|
| author | Syed Sajjad Nazir Omar Salim Akhtar Faud Sadiq Baqal Tanveer Iqbal Shahnawaz Rasool Shabir Ahmed MIr |
| author_facet | Syed Sajjad Nazir Omar Salim Akhtar Faud Sadiq Baqal Tanveer Iqbal Shahnawaz Rasool Shabir Ahmed MIr |
| author_sort | Syed Sajjad Nazir |
| collection | DOAJ |
| description | Introduction: Bladder Cancer (BC) is the second most common
cancer of the urinary tract. Initial treatment by Transurethral
Resection of Bladder Tumour (TURBT) helps guide treatment.
In High Grade (HG) and invasive cancers, improved staging is
achieved by performing a repeat (rTURBT).
Aim: To examine the outcome, residual disease, complications,
outcomes and quality of procedure of repeat TURBTs at the
study tertiary center.
Materials and Methods: This was a retrospective study
conducted at the Department of Urology in Government
Medical College, Srinagar, Jammu and Kashmir, India between
October 2018 and December 2019. A total of 123 TURBT’s
were performed during the study period, of which 34 were
repeat TURBT’s. Case records were examined for each of these
patients. Student t-test and Chi-square tests were used to
compare data sets.
Results: Data was complete for 30 out of 34 patients. There
was residual disease in 12 (40%) patients. Upstaging was
seen in 2/12 (17%) of patients, down-staging in 0/12, and
same stage in 10/12 patients (83%). No disease was seen
in 18/30 (60%) of patients. No major surgical complications
occurred. In 12 patients of non-invasive, High Grade (HG)
tumours, who underwent rTURBTs, 6 (50%) were found to
have residual disease.
Conclusion: rTURBTs should be performed in all patients
with high-grade or T1 tumours. Further studies are required to
analyse risk-factors for residual disease which may narrow the
indications of rTURBT, thus saving time and costs, and reducing
need for an additional procedure. |
| first_indexed | 2024-12-20T03:40:19Z |
| format | Article |
| id | doaj.art-4631cf806d96470da0a607d1c1943370 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-20T03:40:19Z |
| publishDate | 2021-02-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-4631cf806d96470da0a607d1c19433702022-12-21T19:54:46ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-02-01152PC06PC0810.7860/JCDR/2021/46547.14540Role of Repeat Transurethral Resection of Bladder Tumours after Primary Resection: A Retrospective Cross-sectional StudySyed Sajjad Nazir0Omar Salim Akhtar1 Faud Sadiq Baqal2Tanveer Iqbal3Shahnawaz Rasool4Shabir Ahmed MIr5Associate Professor, Department of Urology, Government Medical College, Srinagar, Jammu and Kashmir, India.Lecturer, Department of Urology, Government Medical College, Srinagar, Jammu and Kashmir, India.Senior Resident, Department of Urology, Government Medical College, Srinagar, Jammu and Kashmir, India.Assistant Professor, Department of Urology, Government Medical College, Srinagar, Jammu and Kashmir, India.Senior Resident, Department of Urology, Government Medical College, Srinagar, Jammu and Kashmir, India.DNB Senior Resident, Department of Urology, Government Medical College, Srinagar, Jammu and Kashmir, India.Introduction: Bladder Cancer (BC) is the second most common cancer of the urinary tract. Initial treatment by Transurethral Resection of Bladder Tumour (TURBT) helps guide treatment. In High Grade (HG) and invasive cancers, improved staging is achieved by performing a repeat (rTURBT). Aim: To examine the outcome, residual disease, complications, outcomes and quality of procedure of repeat TURBTs at the study tertiary center. Materials and Methods: This was a retrospective study conducted at the Department of Urology in Government Medical College, Srinagar, Jammu and Kashmir, India between October 2018 and December 2019. A total of 123 TURBT’s were performed during the study period, of which 34 were repeat TURBT’s. Case records were examined for each of these patients. Student t-test and Chi-square tests were used to compare data sets. Results: Data was complete for 30 out of 34 patients. There was residual disease in 12 (40%) patients. Upstaging was seen in 2/12 (17%) of patients, down-staging in 0/12, and same stage in 10/12 patients (83%). No disease was seen in 18/30 (60%) of patients. No major surgical complications occurred. In 12 patients of non-invasive, High Grade (HG) tumours, who underwent rTURBTs, 6 (50%) were found to have residual disease. Conclusion: rTURBTs should be performed in all patients with high-grade or T1 tumours. Further studies are required to analyse risk-factors for residual disease which may narrow the indications of rTURBT, thus saving time and costs, and reducing need for an additional procedure.https://www.jcdr.net/articles/PDF/14540/46547_CE(Ra1)_P(AK)_PF1(SY_OM)_PFA_(OM)_PN(KM).pdfbladder cancermuscle-invasive bladder cancernonmuscle invasive bladder cancer |
| spellingShingle | Syed Sajjad Nazir Omar Salim Akhtar Faud Sadiq Baqal Tanveer Iqbal Shahnawaz Rasool Shabir Ahmed MIr Role of Repeat Transurethral Resection of Bladder Tumours after Primary Resection: A Retrospective Cross-sectional Study Journal of Clinical and Diagnostic Research bladder cancer muscle-invasive bladder cancer nonmuscle invasive bladder cancer |
| title | Role of Repeat Transurethral Resection of Bladder Tumours after Primary Resection: A Retrospective Cross-sectional Study |
| title_full | Role of Repeat Transurethral Resection of Bladder Tumours after Primary Resection: A Retrospective Cross-sectional Study |
| title_fullStr | Role of Repeat Transurethral Resection of Bladder Tumours after Primary Resection: A Retrospective Cross-sectional Study |
| title_full_unstemmed | Role of Repeat Transurethral Resection of Bladder Tumours after Primary Resection: A Retrospective Cross-sectional Study |
| title_short | Role of Repeat Transurethral Resection of Bladder Tumours after Primary Resection: A Retrospective Cross-sectional Study |
| title_sort | role of repeat transurethral resection of bladder tumours after primary resection a retrospective cross sectional study |
| topic | bladder cancer muscle-invasive bladder cancer nonmuscle invasive bladder cancer |
| url | https://www.jcdr.net/articles/PDF/14540/46547_CE(Ra1)_P(AK)_PF1(SY_OM)_PFA_(OM)_PN(KM).pdf |
| work_keys_str_mv | AT syedsajjadnazir roleofrepeattransurethralresectionofbladdertumoursafterprimaryresectionaretrospectivecrosssectionalstudy AT omarsalimakhtar roleofrepeattransurethralresectionofbladdertumoursafterprimaryresectionaretrospectivecrosssectionalstudy AT faudsadiqbaqal roleofrepeattransurethralresectionofbladdertumoursafterprimaryresectionaretrospectivecrosssectionalstudy AT tanveeriqbal roleofrepeattransurethralresectionofbladdertumoursafterprimaryresectionaretrospectivecrosssectionalstudy AT shahnawazrasool roleofrepeattransurethralresectionofbladdertumoursafterprimaryresectionaretrospectivecrosssectionalstudy AT shabirahmedmir roleofrepeattransurethralresectionofbladdertumoursafterprimaryresectionaretrospectivecrosssectionalstudy |