Volume 12, Issue 1 (6-2020)
2020, 12(1): 73-78 |
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Kamali K, Shadpour P, Zolfi E, Vahedi V, Saffari H, Abian N. Comparison of Presence of Detrusor Muscle in Pathology Between Monopolar Conventional TURBT and En-Bloc TURBT. North Khorasan University of Medical Sciences 2020; 12 (1) :73-78
URL: http://journal.nkums.ac.ir/article-1-2013-en.html
URL: http://journal.nkums.ac.ir/article-1-2013-en.html
Koosha Kamali * 
1, Pejman Shadpour2 , Ehsan Zolfi3 , Vahid Vahedi3 , Hossein Saffari4 , Nasrollah Abian3
1, Pejman Shadpour2 , Ehsan Zolfi3 , Vahid Vahedi3 , Hossein Saffari4 , Nasrollah Abian3
1- Associate Professor of Urology, Hasheminejad Kidney Center (HKC), Hospital Management Research Center (HMRC), Iran University of Medical Sciences (IUMS), Tehran, Iran , kooshakamali@gmail.com
2- Professor of Urology, Hasheminejad Kidney Center (HKC), Hospital Management Research Center (HMRC), Iran University of Medical Sciences (IUMS), Tehran, Iran
3- Urology Resident, Hasheminejad Kidney Center (HKC), Iran University of Medical Sciences (IUMS), Tehran, Iran
4- Assistant Professor of Urology, Hasheminejad Kidney Center (HKC), Hospital Management Research Center (HMRC), Iran University of Medical Sciences (IUMS), Tehran, Iran
2- Professor of Urology, Hasheminejad Kidney Center (HKC), Hospital Management Research Center (HMRC), Iran University of Medical Sciences (IUMS), Tehran, Iran
3- Urology Resident, Hasheminejad Kidney Center (HKC), Iran University of Medical Sciences (IUMS), Tehran, Iran
4- Assistant Professor of Urology, Hasheminejad Kidney Center (HKC), Hospital Management Research Center (HMRC), Iran University of Medical Sciences (IUMS), Tehran, Iran
Abstract: (2290 Views)
Introduction: According to EAU 2018 guidelines, TURBT is the gold standard method for diagnosis and treatment of non-muscle invasive bladder tumor. It has been reported that in 50% of cases no detrusor was found in the specimen. The aim of this study is to compare presence of detrusor in specimens taken by conventional and en-bloc method.
Methods: From September 2017 to September 2018, 60 patients with solitary papillary tumor sized less than 3 cm, and no prior history of bladder cancer, randomly divided into two groups: Conventional TURBT and en-bloc TURBT with monopolar hook. Mean operation time, perforation rate, and presence of detrusor muscle were compared between two groups.
Results: Mean operation time in en-bloc TURBT was 15.46 ± 3.52 minutes and in conventional TURBT was 20.6 ± 5.04 minutes. The mean operation time was significantly different between the two groups. No clinical bladder perforation was seen in the two groups. In 28 cases (93.3%) of en-bloc group the detrusor was seen in pathologic reports while presence of detrusor in pathology report was positive in 25 cases (83.3%) of the conventional group, this difference was not statistically significant.
Conclusions: En-bloc TURBT with monopolar hook was as effective as conventional method with no increase in bladder perforation, and due to lower operation time it is a better option than conventional TURBT.
Methods: From September 2017 to September 2018, 60 patients with solitary papillary tumor sized less than 3 cm, and no prior history of bladder cancer, randomly divided into two groups: Conventional TURBT and en-bloc TURBT with monopolar hook. Mean operation time, perforation rate, and presence of detrusor muscle were compared between two groups.
Results: Mean operation time in en-bloc TURBT was 15.46 ± 3.52 minutes and in conventional TURBT was 20.6 ± 5.04 minutes. The mean operation time was significantly different between the two groups. No clinical bladder perforation was seen in the two groups. In 28 cases (93.3%) of en-bloc group the detrusor was seen in pathologic reports while presence of detrusor in pathology report was positive in 25 cases (83.3%) of the conventional group, this difference was not statistically significant.
Conclusions: En-bloc TURBT with monopolar hook was as effective as conventional method with no increase in bladder perforation, and due to lower operation time it is a better option than conventional TURBT.
Type of Study: Orginal Research |
Subject:
Basic Sciences
Received: 2019/07/28 | Accepted: 2020/02/19 | Published: 2020/06/28
Received: 2019/07/28 | Accepted: 2020/02/19 | Published: 2020/06/28
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