ADVANCES IN TRANS-URETHRAL RESECTION OF BLADDER-CARCINOMA

  • 1 January 1982
    • journal article
    • research article
    • Vol. 21  (1) , 3-8
Abstract
Improved technical conditions and progress in the standardization of staging with consistent consideration of the pathohistological grading have produced conditions which allow the adaptation of transurethral resection (TUR) of bladder carcinoma to the principles of tumor surgery. Therefore, a prospect of cure in spite of avoiding multilating measures can be offered to the patient with low [stage] T-category of the tumor. A strict resection strategy is applied which is adapted to the tumor and provides exact statements of the area of tumor spread and its infiltration. In a period of 5 yr, 207 patients with stage Ta-T3 tumors were treated primarily by means of differentiated and several times repeated TUR. The corrected 3 yr survival rate of 146 patients was 96% for stage Ta, 70% for stage T1, 54% for T2 and 48% for T3. The methodology, indications and limitations of the TUR technique are outlined and progressive measures discussed.