A new technique for transurethral resection of superficial bladder tumor in 1 piece.
OBJECTIVE
We developed a new transurethral resection technique that not only removes the entire tumor, but also the surrounding mucosa and underlying stroma with superficial proper muscle in 1 piece to determine accurately the depth of invasion and infiltration pattern of superficial bladder cancer.


METHODS
A short curved needle electrode is used to make a circular incision around and level incisions underneath the tumor, and for tumor retrieval.


RESULTS
Tissue sections of the cut surface crossing the tumor center revealed accurate histology regarding the growth pattern and depth of invasion. No perforation, uncontrollable bleeding or other serious complications occurred.


CONCLUSIONS
More accurate histological diagnosis regarding the growth pattern and depth of lamina propria invasion was possible with removal of the tumor and surrounding material in 1 piece compared to conventional transurethral resection.
Ukai
R
R
Department of Urology, Hiroshima Hospital of West Japan Railway Company.
Kawashita
E
E
Ikeda
H
H
D004566:Electrodes; D004598:Electrosurgery / Q000295:instrumentation*; D004867:Equipment Design; D006801:Humans; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*