The importance of second-look transurethral resection for superficial bladder cancer

Ehab El-Barky, Ahmed Sebaey, Magdy Eltabey, Ahmed Aboutaleb, Sundus Hussein, Elijah O. Kehinde

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objectives: The objective of this article is to evaluate the importance of a second-look transurethral resection of bladder tumour (TURBT) in patients with newly diagnosed superficial bladder cancer and its impact on subsequent treatment plan. Methods: We carried out a prospective study on 100 consecutive patients with newly diagnosed superficial bladder cancer in whom a second-look TURBT was performed two to six weeks after initial resection. We assessed the incidence of residual tumours, sufficiency of initial pathological staging and grading. We also assessed the need for re-staging and grading after the second-look TURBT. Results: Forty-five out of 75 patients (60%) who underwent second-look TURBT had no tumours, 18 (24%) had visible residual tumours and 12 (16%) had microscopic residual tumours. Of the 30 (40%) patients with residual tumours, five had pTa, three had carcinoma in situ (CIS), 12 had pT1, and 10 had pT2 disease. Upstaging and change of treatment plan as a result of the second-look TURBT were necessary in 18/75 (24%) cases, of which 10 cases (13%) underwent radical cystectomy for muscle-invasive tumours. Conclusions: A second cystoscopy with or without TURBT is recommended two to six weeks after initial resection of stage Ta and T1 bladder tumours in patients with high-grade transitional carcinoma of the bladder or in patients with multiple tumours. Second-look cystoscopy in this category of patients may reveal the need for early change of treatment plan in about 25% of patients.

Original languageEnglish
Pages (from-to)299-305
Number of pages7
JournalJournal of Clinical Urology
Volume8
Issue number5
DOIs
Publication statusPublished - Sep 27 2015
Externally publishedYes

Fingerprint

Urinary Bladder Neoplasms
Residual Neoplasm
Cystoscopy
Neoplasms
Cystectomy
Carcinoma in Situ
Urinary Bladder
Therapeutics
Prospective Studies
Carcinoma
Muscles
Incidence

Keywords

  • Bladder cancer
  • second look
  • transurethral resection
  • treatment

ASJC Scopus subject areas

  • Surgery
  • Urology

Cite this

El-Barky, E., Sebaey, A., Eltabey, M., Aboutaleb, A., Hussein, S., & Kehinde, E. O. (2015). The importance of second-look transurethral resection for superficial bladder cancer. Journal of Clinical Urology, 8(5), 299-305. https://doi.org/10.1177/2051415814560189

The importance of second-look transurethral resection for superficial bladder cancer. / El-Barky, Ehab; Sebaey, Ahmed; Eltabey, Magdy; Aboutaleb, Ahmed; Hussein, Sundus; Kehinde, Elijah O.

In: Journal of Clinical Urology, Vol. 8, No. 5, 27.09.2015, p. 299-305.

Research output: Contribution to journalArticle

El-Barky, E, Sebaey, A, Eltabey, M, Aboutaleb, A, Hussein, S & Kehinde, EO 2015, 'The importance of second-look transurethral resection for superficial bladder cancer', Journal of Clinical Urology, vol. 8, no. 5, pp. 299-305. https://doi.org/10.1177/2051415814560189
El-Barky, Ehab ; Sebaey, Ahmed ; Eltabey, Magdy ; Aboutaleb, Ahmed ; Hussein, Sundus ; Kehinde, Elijah O. / The importance of second-look transurethral resection for superficial bladder cancer. In: Journal of Clinical Urology. 2015 ; Vol. 8, No. 5. pp. 299-305.
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