Transurethral resection and degeneration of bladder tumour.
BACKGROUND
We evaluate the efficacy and safety of transurethral resection and degeneration of bladder tumour (TURD-Bt).


METHODS
In total, 56 patients with bladder tumour were treated by TURD-Bt. The results in these patients were compared with 32 patients treated by current transurethral resection of bladder tumour (TUR-Bt). Patients with or without disease progressive factors were respectively compared between the 2 groups. The factors included recurrent tumour, multiple tumours, tumour ≥3 cm in diameter, clinical stage T2, histological grade 3, adenocarcinoma, and ureteral obstruction or hydronephrosis.


RESULTS
Follow-up time was 48.55 ± 23.74 months in TURD-Bt group and 56.28 ± 17.61 months in the TUR-Bt group (p > 0.05). In patients without progressive factors, no tumour recurrence was found and overall survival was 14 (100%) in the TURD-Bt group; 3 (37.50%) patients had recurrence and overall survival was 5 (62.5%) in the TUR-Bt group. In patients with progressive factors, 8 (19.05%) patients had tumour recurrence, overall survival was 32 (76.19%) and cancer death was 3 (7.14%) in TURD-Bt group; 18 (75.00%) patients had tumour recurrence (p < 0.05), overall survival was 12 (50.00%) (p < 0.01) and cancer death was 8 (33.33%) (p < 0.05) in TUR-Bt group. No significant complication was found in TURD-Bt group.


CONCLUSIONS
This study suggests that complete resection and degeneration of bladder tumour can be expected by TURD-Bt. The surgical procedure is safe and efficacious, and could be predictable and controllable before and during surgery. We would conclude that for bladder cancers without lymph node metastasis and distal metastasis, TURD-Bt could be performed to replace radical TUR-Bt and preserve the bladder.
Department of Urology, Yangpu Hospital, School of Medicine, Tongji University Shanghai, China.
Aihua
A
Li
Department of Urology, Yangpu Hospital, School of Medicine, Tongji University Shanghai, China.
Wei
W
Fang
Department of Urology, Yangpu Hospital, School of Medicine, Tongji University Shanghai, China.
Feng
F
Zhang
Department of Urology, Yangpu Hospital, School of Medicine, Tongji University Shanghai, China.
Weiwu
W
Li
Department of Urology, Yangpu Hospital, School of Medicine, Tongji University Shanghai, China.
Honghai
H
Lu
Department of Urology, Yangpu Hospital, School of Medicine, Tongji University Shanghai, China.
Sikuan
S
Liu
Department of Urology, Yangpu Hospital, School of Medicine, Tongji University Shanghai, China.
Hui
H
Wang
Department of Urology, Yangpu Hospital, School of Medicine, Tongji University Shanghai, China.
Binghui
B
Zhang