Current Techniques for En Bloc Transurethral Resection of Bladder Tumor: A Hands-on Guide Through the Energy Landscape
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AbstractEn bloc resection of bladder tumor (ERBT) has attracted interest as a potentially superior technique to transurethral resection of bladder tumor (TURBT) to obtain detrusor muscle in the specimen. Different ERBT techniques have been described, with bipolar electrocautery and laser being the more favored energy modalities. Electrocautery EBRT has an advantage in terms of widespread availability in clinics and ease of conversion to piecemeal resection in case of large bladder tumors in different locations. Laser EBRT has an advantage in preventing obturator nerve reflex, which is particularly useful for lateral wall tumors. Further research is needed to assess the potential case-related advantages of the ERBT techniques over each other. PATIENT SUMMARY: Surgical removal of a bladder tumor as a whole single piece, called en bloc resection, is a safe procedure for the diagnosis and treatment of noninvasive bladder cancer. In this mini-review we summarize the evidence for current techniques for en bloc resection.
Acceptance Date21/04/2023
All Author(s) ListNicoletti R, Gauhar V, Castellani D, Enikeev D, Herrmann TRW, Teoh JY
Journal nameEuropean Urology Focus
Year2023
Month7
Volume Number9
Issue Number4
Pages567 - 570
eISSN2405-4569
LanguagesEnglish-United Kingdom
KeywordsBladder cancer, En bloc resection, Transurethral resection of bladder tumor, Urothelial cancer

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