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PubMed1989

[Radical transurethral resection of bladder tumors].

During the last ten years the authors treated 462 bladder tumors of 319 patients in the expectation of radicality. On the basis of histopathological examination following TURs with differenciating technique the tumor-removing proved true in the cases of 360 tumors (78%). The first TUR was radical only in 65% of the tumors, in 10% the second, in 2% the third and in 1% the fourth intervention resulted full radicality. The authors analyse the number of TUR's needed to complete removing of tumors in connection with the depth of infiltration and the configuration of tumors. The exploration of the causes of failure makes possible the improvement of the results.

Humans↗
PubMed1979

[Clinical importance of vesico-renal reflux after transurethral resection of bladder tumors].

After any resection of tumors near the ostium you have to expect the vesicoureteral reflux as a complication. If the upper urinary tract is primarily normal, this reflux is of no clinical importance (if of course it is diagnosed and controlled). The resection of the ostium, to be radical, can be done without any doubt. The upper urinary tract is rarely hurted. Concerning out patients it is impossible to see how often the tumor spread in the upper urinary tract by the reflux. However, one must consider it, as one of our cases shows.

Follow-Up Studies↗
PubMed1983

[Low pressure resection--a new method for prevention of complications in transurethral resection of bladder neck adenoma].

The advanced age and resulting polymorbidity of our patients are a great risk in the post-operative treatment of adenomas of the vesical cervix. TUR with low-pressure irrigation is clearly superior to the continuous-rinse resectoscope due to the greater reliability of its suction and is a good method of operative therapy for these old patients due to the low stress it places on them, and can thus clearly improve the quality of their lives.

Adenoma↗
PubMed2006

Comparison of hemodynamic profiles in transurethral resection of prostate vs transurethral resection of urinary bladder tumors during spinal anesthesia: a bioimpedance study.

STUDY OBJECTIVE: Transurethral resection of prostate (TURP) is more frequently associated with perioperative fluid and electrolyte disturbances than transurethral resection of bladder tumors (TURT) because of irrigating fluid absorption. Because fluid overload may cause hypertension, we compared the patients' intraoperative hemodynamic profiles (including the incidence of hypertension) during TURP vs TURT, both performed during spinal anesthesia, by using the bioimpedance method. DESIGN: Prospective single-blind study. SETTING: University hospital. PATIENTS: 80 (40 in each group) men, ASA physical status I and II. INTERVENTIONS: Patients underwent TURP or TURT surgery with spinal anesthesia. MEASUREMENTS: Mean arterial pressure, heart rate, cardiac index, and systemic vascular resistance were compared between the 2 groups. A mean arterial pressure greater than 30% from the baseline value was considered as hypertension. Plasma sodium was measured preoperatively, intraoperatively, and postoperatively. MAIN RESULTS: Transurethral resection of prostate patients received more irrigating fluid (7900 +/- 2310 vs 5650 +/- 21560, P < 0.05) and had a higher calculated volume of fluid absorbed: 638 +/- 60 vs 303 +/- 40 mL for the TURT patients (P < 0.05). Mean arterial pressures were higher with TURP, 30 minutes after the onset of surgery and at the end of the procedure (111 +/- 15 vs 100 +/- 10 and 109 +/- 14 vs 99 +/- 14 mmHg, respectively; P < 0.05). However, there was no hypertension in either group. There were no differences in hemodynamic measurements of hyponatremic vs normonatremic patients. Plasma sodium decreased postoperatively more in the TURP group (140.4 +/- 2.6 mEq/L baseline to 134.1 +/- 3.5 mEq/L, P < 0.05) and was lower postoperatively in the TURP group compared with TURT (134.1 +/- 3.5 vs 137.2 +/- 2.9 mEq/L, P = 0.04). CONCLUSIONS: Although more irrigating fluid was absorbed in the TURP group, there were no episodes of hypertension in either group.

Aged↗