Transurethral Bladder Tumor Resection: Intraoperative and Postoperative Complications in a Residency Setting

Nieder, Alan M.; Meinbach, David S.; Kim, Sandy S.; Soloway, Mark S.

doi:10.1097/01.ju.0000181797.19395.03

Cited by 121 publications

(72 citation statements)

References 15 publications

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“…In order to close this gap, only in 2012 did an EAU panel attempt to provide recommendations. [20] While the impact of tutors on resident surgeons has been shown, [19] the "reflective techniques", i.e. metacognitive processes that create a greater understanding of the self in performing a procedure, was not used for seniors.…”

Section: Discussionmentioning

confidence: 99%

Impact of a teaching program on outcome quality of white light transurethral resection for bladder tumor: A cohort study

Hurle

Peschechera

Buffi

et al. 2016

JST

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Objective: To test the hypothesis that a teaching program improves the quality of transurethral resection of bladder tumor (TURBT) and decreases the risk of early recurrence. Material and methods: This is an observational retrospective cohort study of prospectively recorded data of patients with first clinical diagnosis of non-muscle-invasive bladder cancer (NMIBC), scheduled for TURBT. In 2005 a systematic TURBT teaching program was introduced in our Department. We reviewed the charts of patients who underwent TURBT in the years 1998-2004, when no tutoring was applied, and those who underwent TURBT in the years 2005-2010. The outcomes of interest were: presence/absence of detrusor muscle (DM), carcinoma in situ (CIS) detection, complication rate and recurrence rate at the first follow-up cystoscopy (RRFF-C). Results: Complete data from 427 patients were available: 199 before and 228 after the introduction of the teaching program. Multivariable logistic analysis showed that the training program was an independent prognostic factor for DM (presence) rate (OR = 3.92, 95%CI = 2.42-6.33), CIS detection rate (OR = 4.36, 95%CI = 1.92-9.86), and complication rate (OR = 0.28, 95%CI = 0.15-0.55), but not for RRFF-C (OR = 0.79, 95%CI = 0.52-1.20). Between 1998-2004, RRFF-C was correlated with tumor number, pathological stage, DM presence, presence of complication, CIS detection and surgeon experience. After the introduction of the teaching program, only tumor number, DM presence and surgeon experience influenced the RRFF-C. Conclusion: Our findings suggest the hypothesis that the teaching program might have an impact of quality of TURBT, but it failed to improve the RRFF-C.

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Section: Discussionmentioning

confidence: 99%

Impact of a teaching program on outcome quality of white light transurethral resection for bladder tumor: A cohort study

Hurle

Peschechera

Buffi

et al. 2016

JST

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“…Conversion to open surgery due to bleeding or perforation is rare [1] but associated with increased surgical trauma and risk of implantation metastasis [2]. Herein we report a case where perioperative angiographic treatment stopped bleeding from a vascular ectasia originating from the internal iliac artery during TURB.…”

Section: Introductionmentioning

confidence: 98%

Arterial Bleeding during Transurethral Resection of Bladder Cancer Managed by Endovascular Intervention

Örtegren¹,

Sundqvist²,

Strandberg

et al. 2012

Urol Int

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“…The complication rate ranges from 5%-43%; however, the majority of studies have reported values less than 15%. Neider et al [46] reported a 2.3% incidence of hematuria requiring transfusion in a residency setting. Additionally, the authors found the rate of bladder perforation to be 3.5%.…”

Section: Other Considerationsmentioning

confidence: 99%

Approaching the optimal transurethral resection of a bladder tumor

Jurewicz

Soloway

2014

Turkish Journal of Urology

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A complete transurethral resection of a bladder tumor (TURBT) is essential for adequately diagnosing, staging, and treating bladder cancer. A TURBT is deceptively difficult and is a highly underappreciated procedure. An incomplete resection is the major reason for the high incidence of recurrence following initial transurethral resection and thus to the suboptimal care of our patients. Our objective was to review the preoperative, intraoperative, and postoperative considerations for performing an optimal TURBT. The European Association of Urology, Society of International Urology, and The American Urological Association guidelines emphasize a complete resection of all visible tumor during a TURBT. This review will emphasize the various techniques and treatments, including photodynamic cystoscopy, intravesical chemotherapy, and a perioperative checklist, that can be used to help to enable a complete resection and reduce the recurrence rate. A Medline/PubMed search was completed for original and review articles related to transurethral resection and the treatment of non-muscle-invasive bladder cancer. The major findings were analyzed and are presented from large prospective, retrospective, and review studies.

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Transurethral Bladder Tumor Resection: Intraoperative and Postoperative Complications in a Residency Setting

Cited by 121 publications

References 15 publications

Impact of a teaching program on outcome quality of white light transurethral resection for bladder tumor: A cohort study

Impact of a teaching program on outcome quality of white light transurethral resection for bladder tumor: A cohort study

Arterial Bleeding during Transurethral Resection of Bladder Cancer Managed by Endovascular Intervention

Approaching the optimal transurethral resection of a bladder tumor

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