3. Frequency of Residual Tumor on Redo Transurethral Resection of Bladder (TURB) and Its Impact on Management of Non Muscle Invasive Bladder Cancer
Jameel Ahmad, Abdul Ghaffar, Atta ur Rehman, Umar Ghaffar and Zainab Javeed
ABSTRACT
Objective: In this study, we have searched the frequency of residual tumor and its stage in cases found to have Non Muscle Invasive Bladder Cancer (NMIBC) on first procedure and underwent Redo-TURB. More so the impact of Redo-TURB on the management was studied.
Study design: Cross sectional study.
Place and Duration of Study: This study was conducted at the Urology Department of Nishtar Medical University/Hospital Multan from July 2017 to August 2019.
Materials and Methods: Based upon the Inclusion and exclusion criteria, using non-probability consecutive sampling technique, we selected a total of 144 patients. These cases were diagnosed with NMIBC on first TURB but due to certain reasons underwent Redo-TURB.
Results: There were 144 patients in total. Males were 108/144 (75%) while females were 36/124 (25%). Mean age of the patients was 53.18+ 5.82 years. Mean duration of symptoms before the diagnosis was found to be 6.20 + 2.30 months. Residual tumor was found to be present in 96/144 (66.7%) while no tumor was identified in 48/144 (33.3%). Histopathology of Redo-TURB case having residual tumor came out as Non-muscle invasive bladder cancer(NMIBC) 77/96 (80.21%) and muscle invasive bladder cancer (MIBC) 19/96 (19.79%). There was no significant effect of gender, age and duration of symptoms on the frequency of residual tumor.
Conclusion: Redo-TURB should be advised in particular situations in patients who are diagnosed to have NMIBC on first resection. The aim is to achieve more complete tumor resection, proper staging and management of NMIBC. Redo-TURB also helps to identify cases having invasive disease that need aggressive treatment but were under staged due to incomplete resection
Key Words: Non Muscle Invasive Bladder Tumor, Redo Transurethral Resection of bladder tumor, Residual Tumor
Citation of article: Ahmad J, Ghaffar A, Rehman A, Ghaffar U, Javeed Z. Frequency of Residual Tumor on Redo Transurethral Resection of Bladder (TURB) and Its Impact on Management of Non Muscle Invasive Bladder Cancer. Med Forum 2020;31(5):10-14.