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Management of Bladder Cancer pp 179–190Cite as

Localized Surgical Therapy and Surveillance

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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.

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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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Author information

Authors and Affiliations

  1. Westmead Hospital, University of Sydney, Suite 10, 16-18 Mons Rd, Westmead, NSW, 2145, Australia

    Manish I. Patel M.B.B.S., Ph.D., F.R.A.C.S.

  2. Royal Prince Alfred Hospital, University of Sydney, Suite 312, 100 Carillon Avenue, Newtown, NSW, 2042, Australia

    Paul D. Sved M.B.B.S., M.S., F.R.A.C.S.

Authors
  1. Manish I. Patel M.B.B.S., Ph.D., F.R.A.C.S.
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  2. Paul D. Sved M.B.B.S., M.S., F.R.A.C.S.
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Corresponding author

Correspondence to Manish I. Patel M.B.B.S., Ph.D., F.R.A.C.S. .

Editor information

Editors and Affiliations

  1. Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota, USA

    Badrinath R. Konety

  2. Department of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA

    Sam S. Chang

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Patel, M.I., Sved, P.D. (2015). Localized Surgical Therapy and Surveillance. In: Konety, B., Chang, S. (eds) Management of Bladder Cancer. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1881-2_13

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  • DOI: https://doi.org/10.1007/978-1-4939-1881-2_13

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