Transurethral resection of bladder tumor is the treatment of choice for superficial bladder tumor, which can remove the tumor completely with little trauma and quick recovery.
The most important question for many patients and their anxious families at the end of surgery is: “Doctor, is my tumor removed cleanly?” In fact, this question is also a great concern for surgeons.
Bladder tumors are often multiple, with scattered satellite foci around the tumor. These satellite foci are small in size and close in color to the normal bladder mucosa, and are easily missed when viewed under a normal white light cystoscope.
This problem is well solved by narrow-wave imaging, which is an imaging technique that uses narrow-wave light to clearly display the capillaries in the bladder lining. Since bladder tumor is rich in capillaries because of capillaries, it is in contrast with normal mucosa.
The Department of Urology of Cancer Hospital is the first to combine NBI imaging technology with TUBRT technology, which greatly improves the detection rate and resection rate of micro bladder tumors and significantly reduces postoperative recurrence.
In addition, our department has applied bipolar plasma electrodesection technology to TURBT, replacing the traditional monopolar electrodesection ring. The monopolar electrosurgical ring uses the energy of the electrical discharge between the ring and the nearest bladder tissue to remove the bladder tumor and requires a non-conductive glucose solution as the medium. When the procedure is complex and the intraoperative time is too long, a large amount of glucose solution will enter the body, resulting in dilutional hyponatremia and excessive blood volume, clinically known as TUR syndrome. And monopolar electrosurgical ring discharge current passing through the body is prone to cause closed-hole nerve reflexes resulting in bladder perforation. The bipolar plasmapheresis technique confines the discharge between the electrodes of the electrosurgical ring, reducing the current passing through the body, and allows the use of conductive solution saline as a medium, reducing the possibility of TUR syndrome.
The last important point is to remember to follow up the cystoscopy regularly after the procedure.