Comparing the short-term outcomes and complications of monopolar and bipolar transurethral resection of non-muscle invasive bladder cancers: A prospective, randomized, controlled study

Bolat, Deniz; Günlüsoy, Bülent; Değirmenci, Tansu; Ceylan, Yasin; Polat, Salih; Aydin, E.; Aydoğdu, Özgü

doi:10.1016/s1569-9056(16)15040-7

Cited by 14 publications

(10 citation statements)

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“…However, obturator reflex was experienced in 21.5% of the patients in the monopolar TURB group and in 4.6% of the patients in bTURB group. Additionally, the number of bladder perforations was significantly higher in mTURB (21.5% vs. 6.1%) [10]. These observations were confirmed in a large retrospective analysis of perioperative outcomes of 8188 mono-bipolar pairs.…”

Section: Conventional Resectionsupporting

confidence: 63%

Technical developments in transurethral resection of bladder tumours

Pastuszak

Zdrojowy

Poletajew

et al. 2019

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Bladder cancer is one of the most common malignancies worldwide. The transurethral resection of bladder tumour (TURB) remains the gold standard in both diagnostics and treatment. Because of the importance of TURB in bladder cancer management and the fact that TURB is one of the most commonly performed urologic procedures, it is the subject of continuous technological development. The latest advances in the field of endourology are aimed at increasing surgical accuracy and thus reducing the risk of bladder tumour recurrence and progression. However, despite the constant progress in technology and technique, there are still a lack of good quality data showing the superiority of any of the methods. The aim of this paper is to present available data on new technological developments in surgical technique of TURB. Advantages and disadvantages of currently available methods are discussed, and literature showing their effectiveness and safety is shown.

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Section: Conventional Resectionsupporting

confidence: 63%

Technical developments in transurethral resection of bladder tumours

Pastuszak

Zdrojowy

Poletajew

et al. 2019

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“…A PubMed search of “transurethral resection” (of) “bladder” and “morbidity” or “complication”, or “mortality” or “death” yielded 585, 664, 9 and 95 articles, respectively. Of these, 89 articles relevant to the process of defining complexity were analysed, obtaining 36 articles ( Table S1 ) which were instrumental in highlighting adequacy, operative time and morbidity as the three drivers that characterize a complex surgery, as opposed to an uneventful procedure [ 4 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ].…”

Section: Resultsmentioning

confidence: 99%

Consensus Definition and Prediction of Complexity in Transurethral Resection or Bladder Endoscopic Dissection of Bladder Tumours

Roumiguié¹,

Xylinas

Brisuda

et al. 2020

Cancers

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Ten senior urologists were interrogated to develop a predictive model based on factors from which they could anticipate complex transurethral resection of bladder tumours (TURBT). Complexity was defined by consensus. Panel members then used a five-point Likert scale to grade those factors that, in their opinion, drove complexity. Consensual factors were highlighted through two Delphi rounds. Respective contributions to complexity were quantitated by the median values of their scores. Multivariate analysis with complexity as a dependent variable tested their independence in clinical scenarios obtained by random allocation of the factors. The consensus definition of complexity was “any TURBT/En-bloc dissection that results in incomplete resection and/or prolonged surgery (>1 hour) and/or significant (Clavien-Dindo ≥ 3) perioperative complications”. Logistic regression highlighted five domains as independent predictors: patient’s history, tumour number, location, and size and access to the bladder. Receiver operating characteristic (ROC) analysis confirmed good discrimination (AUC = 0.92). The sum of the scores of the five domains adjusted to their regression coefficients or Bladder Complexity Score yielded comparable performance (AUC = 0.91, C-statistics, p = 0.94) and good calibration. As a whole, preoperative factors identified by expert judgement were organized to quantitate the risk of a complex TURBT, a crucial requisite to personalise patient information, adapt human and technical resources to individual situations and address TURBT variability in clinical trials.

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“…Moreover, the exfoliated cancer cells during operation increase the risk of recurrence and metastasis [11]. Although bipolar resection has been reported to reduce the risk of complications when compared with monopolar resection, the results remain controversial [12,13].…”

Section: Discussionmentioning

confidence: 99%

Preliminary Experience of 980nm Diode Laser Treatment for Non-Muscle-Invasive Bladder Tumor with En bloc Technique

Mao¹,

Zhang²,

Cui³

et al. 2020

Preprint

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BackgroundThe disease addiction to chemical substances or drugs such as alcohol (ethanol, C2H5OH) is still not recognised by many medical practitioners as a diagnostic nosology in Ghana. It is usually considered a moral challenge, rather than a medical condition. This perception is propagated even in the Ministry of Health’s Occupational Health and Safety (OHS) policy document which punishes symptoms of substance use disorders. This study seeks to explore the perception and attitude of employers towards employees with alcohol use disorders (AUDs).MethodA qualitative approach of in-depth interviews and observations which described the perceived attitudes of employers (using HR managers as proxy) towards employees with AUD of ten private and public hospitals in the Greater-Accra Metropolis was adopted. The face-to face interviews conducted using a an interview guide were audio-recorded and later transcribed. On average, the interview lasted between 45 and 60 minutes.ResultsFindings from the 10 interviews revealed that psychological factors accounted for AUD regardless of the nature of their work. In spite of prevalence of AUD in some hospitals, it was interesting to know that majority of these facilities had no employee assistance programmes (EAPs) and the few that had some policies on AUD were not implementing them.ConclusionThis paper focused on some aspect of HR managers’ perceived attitude toward an aspect of their mental well-being which is AUD. However, there are other pertinent issues that are crucial to employee total well-being that can be addressed in future research.

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Comparing the short-term outcomes and complications of monopolar and bipolar transurethral resection of non-muscle invasive bladder cancers: A prospective, randomized, controlled study

Cited by 14 publications

References 0 publications

Technical developments in transurethral resection of bladder tumours

Technical developments in transurethral resection of bladder tumours

Consensus Definition and Prediction of Complexity in Transurethral Resection or Bladder Endoscopic Dissection of Bladder Tumours

Preliminary Experience of 980nm Diode Laser Treatment for Non-Muscle-Invasive Bladder Tumor with En bloc Technique

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