Transurethral resection of bladder tumour (TURBT) : Experience Ofa Tertiary Centre

Abstract

Objective: To show the epidemiological profile of patients who had transurethral resection of bladder tumours and the various histological types of bladder tumour at presentation.
Methodology: A retrospective study on patients who had transurethral resection of bladder tumor (TURBT) at B.P Koirala Institute of Health Sciences Dharan, Nepal between the time period of November, 2007 and March, 2016. Information were retrieved from the record and entered in a structured proforma and analyzed using Statistical Package for Social Sciences (SPSS) software version 17.0.
Results: Fifty-five patients with urinary bladder tumour had transurethral resection of bladder tumor (TURBT) within the years under review. The mean age was 61.6 years and smoking was found as the major risk factor (P < 0.05) for high grade Transition cell carcinoma (TCC). Farming (45%) was the commonest type of occupation and hematuria (95%) as the commonest presenting symptom .  Transitional Cell Carcinoma was the commonest histological variety in our study accounting for 85.5% of cases with majority (78%) as non-muscle invasive. The muscle invasion was directly associated with the grade of tumor.
Conclusion: Bladder tumour is a common genitourinary condition with transurethral resection of bladder tumor (TURBT) being effective in giving the degree of  differentiation, depth of tumor invasion, parameters useful in diagnosis, treatment and prognosis assessment.

KeyWords: Transurethral, Resection, Bladder Tumour, Tertiary Centre