The Value of Second Look Transurethral Resection in the Evaluation and Management of Patients with Bladder Tumors


ABSTRACT:BACKGROUND:The role of a routine second transurethral resection in evaluating and management of patients with bladder tumor is defined.PATIENTS AND METHOD:From January 2004 to October 2006, 100 patients with new or recurrent bladder tumors underwent repeat transurethral resection within 4-6 weeks after the initial resection, and the results, including the presence of residual tumor and tumor stage, were compared.RESULTS:Of 100 cases, 28 (28%) had no tumor and 72(72%) had residual tumor on repeat TUR. Out of 64 cases with superficial (Ta, Tis, T1) bladder tumors, 20(31%) had residual non-invasive tumor and 13 (20%) were upstaged to muscle invasive tumor. Among 36 patients with a muscle invasive tumor, 10(28%) had no residual tumor on re-TURBT. Results of second resection had changed treatment option in 39 patients (39%) from the initial treatment recommendation which was given after the first TUR.CONCLUSION:many patients with bladder tumor have residual tumor present after an initial TUR. Routine repeat resection is advised to control noninvasive tumors and to detect residual tumor invasion.