Author(s): JIANG Xin, JIN Yuming, JIANG Yingbo, WANG Minjie, Department of Urology, No.422 Hospital of PLA
Pages: 1085-1087
Year: 2014 Issue:  12
Journal: Journal of Clinical Urology
Keyword:  bladder tumor; non-muscle-invasive; transurethral resection;
Abstract: Objective:To compare the efficacy and safety between transurethral cut-and-push technique and ordinary transurethral resection of bladder tumor(TURBT)for the treatment of non-muscle-invasive bladder cancer(NMIBC).Method:We reviewed the medical records of totally 46 patients with NMIBC,who were divided into transurethral cut-and-push technique gruop(n=22)and ordinary TURBT group(n=24)from February 2010 to October 2012.The operation time,complications,postoperative gross hematuria and incidence of secondary transurethral resection were compared between the two groups.Result:Compared with ordinary TURBT group,transurethral cut-and-push technique group showed significantly shorter operation time,lower rate of obturator nerve reflex,shorter postoperative gross hematuria,and lower rate of incidence of secondary transurethral resection[(36.5±10.0)min vs.(40.9±9.5)min,t=-3.015,P=0.003;20.83%(5/24)vs.0,P=0.000;(2.3±1.1)d vs.(3.0±1.4)d,t=-3.759,P=0.000;and 37.5%(9/24)vs.18.18%(4/22)χ2=2.113,P=0.003].Both groups were followed up for 12 to 32months with a medium of 18 mouths,during which the two groups showed similar rate of recurrence [transurethral cut-and-push technique vs.ordinary TURBT:22.73%(5/22)vs.29.17%(7/24),log-rankχ2=1.413,P=0.235].Conclusion:Transurethral cut-and-push technique is safer and more effective,and less time-consuming and fewer obturator nerve reflex for patients with NMIBC than ordinary TURBT.Therefore,it can improve postoperative recovery.