The Role of the Surgeon and Transurethral Resection in the Treatment of Superficial Bladder Cancer
Non-muscle invasive bladder cancers are a heterogeneous group of cancers whose spectrum includes low grade Ta lesions and high-grade T1 lesions. Accurate staging and grading during initial evaluation and TUR ensures appropriate treatment and prevents the risk of understaging. TUR should be ideally...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2006-01-01
|
| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/tsw.2006.405 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832554503974420480 |
|---|---|
| author | Alan M. Nieder Murugesan Manoharan |
| author_facet | Alan M. Nieder Murugesan Manoharan |
| author_sort | Alan M. Nieder |
| collection | DOAJ |
| description | Non-muscle invasive bladder cancers are a heterogeneous group of cancers whose spectrum includes low grade Ta lesions and high-grade T1 lesions. Accurate staging and grading during initial evaluation and TUR ensures appropriate treatment and prevents the risk of understaging. TUR should be ideally performed under spinal anesthesia, with a continuous flow video resectoscope to maintain a stable bladder capacity, and a video monitor. The entire bladder must be visualized, with both 30- and 70-degree lenses, and all abnormal areas must be resected, with separate biopsies from each tumor's base. Repeat TUR is recommended for all high grade tumors and T1 tumors, especially if muscle was not present in the initial specimen. Immediate instillation of single dose chemotherapy agents following TUR is highly recommended to reduce the risk of tumor recurrences. |
| format | Article |
| id | doaj-art-83790a6b0a2441fb8ab0a37692f2a848 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2006-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-83790a6b0a2441fb8ab0a37692f2a8482025-02-03T05:51:21ZengWileyThe Scientific World Journal1537-744X2006-01-0162626263110.1100/tsw.2006.405The Role of the Surgeon and Transurethral Resection in the Treatment of Superficial Bladder CancerAlan M. Nieder0Murugesan Manoharan1Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USADepartment of Urology, University of Miami Miller School of Medicine, Miami, FL, USANon-muscle invasive bladder cancers are a heterogeneous group of cancers whose spectrum includes low grade Ta lesions and high-grade T1 lesions. Accurate staging and grading during initial evaluation and TUR ensures appropriate treatment and prevents the risk of understaging. TUR should be ideally performed under spinal anesthesia, with a continuous flow video resectoscope to maintain a stable bladder capacity, and a video monitor. The entire bladder must be visualized, with both 30- and 70-degree lenses, and all abnormal areas must be resected, with separate biopsies from each tumor's base. Repeat TUR is recommended for all high grade tumors and T1 tumors, especially if muscle was not present in the initial specimen. Immediate instillation of single dose chemotherapy agents following TUR is highly recommended to reduce the risk of tumor recurrences.http://dx.doi.org/10.1100/tsw.2006.405 |
| spellingShingle | Alan M. Nieder Murugesan Manoharan The Role of the Surgeon and Transurethral Resection in the Treatment of Superficial Bladder Cancer The Scientific World Journal |
| title | The Role of the Surgeon and Transurethral Resection in the Treatment of Superficial Bladder Cancer |
| title_full | The Role of the Surgeon and Transurethral Resection in the Treatment of Superficial Bladder Cancer |
| title_fullStr | The Role of the Surgeon and Transurethral Resection in the Treatment of Superficial Bladder Cancer |
| title_full_unstemmed | The Role of the Surgeon and Transurethral Resection in the Treatment of Superficial Bladder Cancer |
| title_short | The Role of the Surgeon and Transurethral Resection in the Treatment of Superficial Bladder Cancer |
| title_sort | role of the surgeon and transurethral resection in the treatment of superficial bladder cancer |
| url | http://dx.doi.org/10.1100/tsw.2006.405 |
| work_keys_str_mv | AT alanmnieder theroleofthesurgeonandtransurethralresectioninthetreatmentofsuperficialbladdercancer AT murugesanmanoharan theroleofthesurgeonandtransurethralresectioninthetreatmentofsuperficialbladdercancer AT alanmnieder roleofthesurgeonandtransurethralresectioninthetreatmentofsuperficialbladdercancer AT murugesanmanoharan roleofthesurgeonandtransurethralresectioninthetreatmentofsuperficialbladdercancer |