TRANSURETHRAL RESECTION VERSUS EN-BLOCK HO-YAG LASER ENUCLEATION FOR PAPILLARY BLADDER CANCER : PROSPECTIVE RANDOMIZED STUDY

Document Type : Original Article

Authors

1 zagazig university, urolgy department

2 ZAGAZIG UNIVERSITY UROLOGY DEPARTMENT

3 zagazig university , urology department

4 zagazig university urology department

Abstract

objectives:
to compare between transurethral en-block ho-yag laser enucleation and
transurethral resection for papillary bladder cancer.

methods:
this is a prospective randomized study, carried out at urology department,
zagazig university hospitals during the period from 15/7/2017 to 15/2/2018. aimed to
compare between laser en-block enucleation and monopolar tubrt for papillary
bladder cancer as regard intraoperative outcomes (perforation , obturator jerk and
bleeding ) and post operative outcomes ( wash time ,catheter time , hospital stay,
blood transfusion ,residual )

results:
we studies 52 patients randomized in two groups, group for Ho-yag laser enblock enucleation and group for monopolar TURBT. We found that Ho-Yag laser was
super to TURBT in term of intraoperative complications and postoperative

conclusions:
Laser enucleation appear to be reliable procedure with many advantages
over monopolar TURBT , despite it need longer resection time ,it reduce intraoperative
complications and post operative complications , it preserve tumor histological
architecture and gives better tumor staging , it allow to remove the tumor completely
from it’s bed so decrease the probability of local persistence of malignant tissue and
incidence of tumor recurrence .

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Zagazig University Medical Journal
Volume 27, Issue 2
March 2021
Pages 203-208

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