Abstract

Transurethral resection of bladder tumors (TURBT) represents the cornerstone in diagnosis and treatment of bladder cancer but recurrence is observed in up to 80% and over- or understaging with TURBT is common. A more recent development to overcome these limitations represents en-bloc resection of bladder tumors (ERBT) which offers several advantages over TURBT. In this report, we briefly review studies assessing outcomes of bladder cancer patients undergoing ERBT. Most randomized and non-randomized trial demonstrate improvement in clinical outcomes for ERBT over TURBT, however more pathological and translational studies are warranted.

Highlights

  • Bladder cancer has an estimated 429,793 new diagnoses leading to 165,084 deaths per year worldwide [1] but with a globally wide variation [2]

  • A recent consensus agreed that any method “removing the bladder tumor in one piece” can be described as en-bloc transurethral resection of bladder tumors (ERBT) [8]

  • We review studies assessing outcomes of patients with bladder cancer undergoing en-bloc resection of bladder tumors (ERBT)

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Summary

Introduction

Bladder cancer has an estimated 429,793 new diagnoses leading to 165,084 deaths per year worldwide [1] but with a globally wide variation [2]. Transurethral resection of bladder tumors (TURBT) represents the cornerstone in diagnosis and treatment of bladder cancer since the 1940s. To decrease the high recurrence rates, several new methodologies have been developed to allow en bloc removal of bladder cancers, for example in 1980 snare polypectomy a method which did not allow complete resection of the bladder base [6].

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