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International Urology and Nephrology

, Volume 51, Issue 8, pp 1335–1342 | Cite as

Therapeutic benefit of second-look transurethral resection of bladder tumors for newly diagnosed T1 bladder cancer: a single-center experience

  • Wen-Hsin Tseng
  • Chien-Liang LiuEmail author
  • Steven K. Huang
  • Alex Chien-Hwa Liao
  • Jinn-Rung Kuo
  • Shun-Hsing Hun
  • Chun-Hao Chen
  • Chia-Cheng Su
  • Jhih-Cheng Wang
  • Kau-Han Lee
  • Kun-Hung Shen
  • Chien-Feng Li
Urology - Original Paper
  • 79 Downloads

Abstract

Purpose

In recent years, second-look transurethral resection of bladder tumors (TURBT) has been recommended for patients with stage T1 bladder cancer after the initial TURBT for restaging and deciding the subsequent treatment. However, we believe that second-look TURBT has therapeutic benefits, such as low incidence of recurrence and progression. Therefore, we compare the differences in long-term outcome between patients who did and did not accept second-look TURBT for stage T1 bladder cancer.

Methods

We assessed 504 patients diagnosed with urothelial carcinoma who underwent initial TURBT between January 2012 and December 2016 at a single medical center; of these patients, 177 were diagnosed with T1 bladder cancer during the initial TURBT, and we excluded no muscle from the specimen in the initial TURBT. The patients were categorized into groups 1 and 2 based on the acceptance of second-look TURBT, which was performed within 4–14 weeks after the initial TURBT. Group 1 underwent second-look TURBT, but group 2 did not. Both groups were followed-up for recurrence-free survival (RFS) and progression-free survival (PFS), and the risk factors for recurrence and progression were analyzed.

Results

In total, 93 (52.5%) patients in group 1 underwent second-look TURBT, and 84 (47.5%) in group 2 did not. The 2-year RFS rates were 74.6% and 60.0% and the PFS rates were 91.2% and 87.5% in groups 1 and 2, respectively.

Conclusion

This study demonstrated higher recurrence-free and progression-free survival rates for patients who underwent second-look TURBT. This result emphasizes the importance of second-look TURBT in stage T1 bladder cancer not only for restaging but also for therapeutic benefit.

Keywords

Second-look TURBT Transurethral resection of bladder tumors T1 bladder cancer Therapeutic benefit 

Notes

Acknowledgements

The author wishes to acknowledge to Dr. Tseng, Chien-Chang, Ying-Hsia, Shen, Yu-Ping, Huang for guidance.

Compliance with ethical standards

Conflict of interest

The authors declare no conflict of interest.

Ethics approval

All procedures involving human participants were performed in accordance with the ethical standards of the institutional research committee and the 1964 Declaration of Helsinki.

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Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  • Wen-Hsin Tseng
    • 1
  • Chien-Liang Liu
    • 1
    • 2
    Email author
  • Steven K. Huang
    • 1
  • Alex Chien-Hwa Liao
    • 1
  • Jinn-Rung Kuo
    • 3
  • Shun-Hsing Hun
    • 4
  • Chun-Hao Chen
    • 1
  • Chia-Cheng Su
    • 1
  • Jhih-Cheng Wang
    • 1
  • Kau-Han Lee
    • 1
  • Kun-Hung Shen
    • 1
  • Chien-Feng Li
    • 5
  1. 1.Division of Urology, Department of SurgeryChi Mei Medical CenterTainanTaiwan
  2. 2.Division of Uro-Oncology, Department of SurgeryChi Mei Medical CenterTainanTaiwan
  3. 3.Division of Neurosurgery, Department of SurgeryChi Mei Medical CenterTainanTaiwan
  4. 4.Division of Urology, Department of SurgeryChi Mei HospitalTainanTaiwan
  5. 5.Department of PathologyChi Mei Medical CenterTainanTaiwan

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