Transurethral Resection of Bladder Tumor: Electrosurgical and Laser

Transurethral resection of bladder tumor (TURBT) is still the gold standard for the diagnosis, treatment, and staging of nonmuscle invasive bladder cancer. En bloc resection of bladder tumor (EBRT) has been recently introduced to overcome the limitations of conventional TURBT. EBRT potential advantages are (1) complete resection, (2) a more precise and controlled resection (potentially fewer complications), (3) better sample orientation for histopathology analysis, (4) presence of detrusor in the specimen, and (5) less tumor seeding on normal urothelium by tumor fragments. This article aimed to present a step-by-step technique of conventional TURBT and EBRT with thulium laser support. We also aimed to provide tips and tricks for a correct surgical procedure and postoperative patient care. Finally, clinical outcomes of TURBT versus EBRT were reviewed.

Automated summary

Transurethral resection of bladder tumor (TURBT) remains the gold standard for nonmuscle invasive bladder cancer management while en bloc resection of bladder tumor (EBRT) offers potential advantages such as complete resection, precise and controlled removal, better sample orientation, presence of detrusor in the specimen, and reduced tumor seeding on normal urothelium by tumor fragments. This article aims to compare the techniques and outcomes of TURBT versus EBRT.