Technique and complications of transurethral surgery for bladder tumours

Traxer, Olivier; Pasqui, Federico; Gattegno, B; Pearle, Margaret S.

doi:10.1111/j.1464-410x.2004.04990.x

Cited by 82 publications

(45 citation statements)

References 30 publications

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“…Traxer et al[13] concluded TURB is a safe procedure with few complications. Post-TURB UTI incidence ranges from 2 to 39% (asymptomatic bacteiuria is included).…”

Section: Discussionmentioning

confidence: 99%

Healthcare-Associated Infections after Lower Urinary Tract Endoscopic Surgery: Analysis of Risk Factors, Associated Microorganisms and Patterns of Antibiotic Resistance

et al. 2018

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Objectives: To review the incidence of healthcare-associated infections/urinary tract infection (UTI), risk factors, microorganisms isolated and antibiotic resistances in patients who underwent lower urinary tract endoscopic surgery (LUTES) in a tertiary care hospital. Methods: A prospective observational study was carried out including 1,498 patients who undergo LUTES. Patients with and without UTI after surgery were compared. We analysed infection incidence, risk factors, microorganisms isolated and antibiotic resistances. Results: Postoperative UTI incidence was 4.7%. Risk factors found: higher American Society of Anesthesiologists classification (OR 2.82; 95% CI 1.8–4.5; p < 0.00), immunosuppression (OR 2.89; 95% CI 1.2–7.2; p = 0.01), indwelling urinary catheter prior admission (OR 2.6; 95% CI 1.6–4.2; p < 0.00) and postoperative catheterization longer than 2 days (OR 1.74; 95% CI 1.7–4.3; p < 0.00). Transurethral resection of the bladder (TURB) had the highest infection rates (5.5%). Microorganisms isolated were Pseudomonas aeruginosa (23.5%), Escherichia coli (17.6%), Klebsiella pneumoniae and Enterococcus spp (11.8%). Resistance rates for flourquinolones varied between 28 and 80%, and Carbapenem-resistant Enterobacteriaceae rose up 20%. Conclusions: Low percentage of UTI after endoscopic surgery was registered. TURB was the procedure with highest infection rate. Pseudomonas aeruginosa stands out as the most frequently isolated microorganism. Patient comorbidities, previous urinary catheter and postoperative catheter were identified as risk factors.

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“…Traxer et al[13] concluded TURB is a safe procedure with few complications. Post-TURB UTI incidence ranges from 2 to 39% (asymptomatic bacteiuria is included).…”

Section: Discussionmentioning

confidence: 99%

Healthcare-Associated Infections after Lower Urinary Tract Endoscopic Surgery: Analysis of Risk Factors, Associated Microorganisms and Patterns of Antibiotic Resistance

et al. 2018

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“…Most groups agree that orifice resection may culminate in vesicoureteral reflux with its attendant morbidity. [3][4][5][6][7][8]10 Whether it also carries a risk of ureteral scarring with subsequent stenosis and upper urinary tract obstruction remains controversial, [2][3][4]6,7,[9][10][11][12] as does the potential of the procedure to lead to tumor recurrence in the upper urinary tract. 4,[8][9][10][11] We assessed the risk of upper urinary tract obstruction and tumor recurrence following ureteral orifice resection in a relatively large, contemporary series of patients undergoing TURBT.…”

mentioning

confidence: 99%

Resection of Ureteral Orifice During Transurethral Resection of Bladder Tumor: Functional and Oncologic Implications

2012

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Ureteral orifice resection during transurethral resection of bladder tumor is rarely associated with detrimental renal obstruction or an increased risk of tumor recurrence in the upper urinary tract. New onset hydronephrosis is mostly attributable to muscle invasive disease or temporary obstruction. However, the few cases of overt stricture underscore the importance of meticulous followup with imaging.

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“…The incidence of bladder perforation (0.9%-5%) is probably underestimated because of under-reporting. 30 Signs of perforation include inability to distend the bladder, inappropriately low return of irrigation fluid, and visualization of small bowel or extravesical fat that glistens between detrusor bundles. Systemically there is abdominal distension and tachycardia.…”

Section: Bladder Perforationmentioning

confidence: 99%