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Title: Trans-Urethral Snare of Bladder Tumor (TUSnBT) with Stone Basket Retrieval: A Novel Time-Saving Technique in the Endoscopic Management of Papillary Bladder Lesions.
Austin Authors: Adam, Ahmed;Sookram, Jayveer;Bhattu, Amit Sattish;Wadee, Reubina;Perera, Marlon ;Lawrentschuk, Nathan
Affiliation: Department of Urology, Helen Joseph Hospital, University of the Witwatersrand, Johannesburg, South Africa
Department of Paediatric Urology, Rahima Moosa Mother & Child (Coronation) Hospital, University of the Witwatersrand, Johannesburg, South Africa
The Division of Urology, Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Department of Urological Oncology, Jackson Memorial Hospital-University of Miami Health system, Miami, FL, USA
Division of Anatomical Pathology, University of the Witwatersrand and the National Health Laboratory Services, Johannesburg, South Africa
Royal Brisbane Hospital, University of Queensland, Brisbane, Australia
Department of Surgery, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
Department of Surgical Oncology, Peter MacCullum Hospital, Melbourne, Australia
Issue Date: Jun-2018 2018-03-30
Publication information: Current urology 2018-06; 11(4): 189-195
Abstract: To assess if trans-urethral snare of bladder tumor (TUSnBT) with subsequent stone basket retrieval can be used as an effective, time-saving adjunct resection technique for papillary bladder lesions. Via standard cystoscopy, TUSnBT was performed using a standard endoscopic polypectomy snare with subsequent tumor extraction utilizing a standard stone retrieval basket, when lesions were more than 10 mm in diameter. Smaller lesions were removed with the polypectomy snare. Standard trans-urethral resection of bladder tumors (TURBT) of the tumor bed was performed post TUSnBT. Histological assessment was performed and assessed separately per session. In total, 18 papillary lesions, measuring between 9 and 26 mm, were resected via TUSnBT. Operative TUSnBT time, ranged between 10 and 60 seconds duration per lesion. No significant postoperative morbidity was experienced by patients within this cohort. Histo-pathological assessment revealed adequate muscle representation in 83.3 % of TUSnBT grouped sessions assessed. TUSnBT with stone retrieval basket retrieval is a feasible method in selected papillary bladder lesions, and may be coupled with standard TURBT resection techniques. This method is less time consuming and would prove beneficial in select lesions. It may also be beneficial to assist with reducing the resection time or inadvertent bladder perforation encountered during the conventional TURBT.
DOI: 10.1159/000447217
ORCID: 0000-0001-8553-5618
PubMed URL: 29997461
ISSN: 1661-7649
Type: Journal Article
Subjects: Endoscopic management
Novel time-saving technique
Papillary bladder lesions
Stone basket retrieval
Transurethral snare of bladder tumor
Appears in Collections:Journal articles

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