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Localized Surgical Therapy and Surveillance

  • Manish I. PatelEmail author
  • Paul D. Sved
Chapter

Abstract

Localized surgical therapy and surveillance examines the evidence and practice of two of the most important aspects of management of localized bladder cancer. The first part, surgical therapy, comprises preoperative assessment (including preoperative imaging studies, laboratory investigations, and antibiotic prophylaxis) followed by transurethral resection of bladder tumor. This section explores the principles of TURBT, including resection depth, staged resections, and bladder drainage. Specific circumstances such as tumors at the ureteral orifices, lateral/anterior walls, within diverticulae and reresection are specifically addressed.

The second part of this chapter, surveillance, examines the evidence and practice of surveillance of NMIBC following resection. This includes a discussion of risk stratification, so appropriate surveillance strategies can be correctly applied. Specific areas such as cystoscopy schedule, first cystoscopy, further cystoscopies, methods to improve surveillance cystoscopies, use of urinary markers, imaging and upper tract evaluation are discussed in more detail.

Keywords

Surveillance Cystoscopy Bladder tumor Risk group Transurethral resection Technique Follow up 

Abbreviations

NMIBC

Non-muscle-invasive bladder cancer

TURBT

Transurethral resection of bladder tumor

UTI

Urinary tract infection

EORTC

European organization for the research and treatment of cancer

CIS

Carcinoma in situ

BMAP

Bladder mapping

EAU

European association of urology

PUNLMP

Papillary neoplasm of low malignant potential

FC

Fluorescent cystoscopy

WL

White light

UTT

Upper tract tumor

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Westmead HospitalUniversity of SydneyWestmeadAustralia
  2. 2.Royal Prince Alfred HospitalUniversity of SydneyNewtownAustralia

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