Bipolar Resectoscopes

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Cystoscopy and Standard TURB are still the gold standard procedure for the diagnosis and initial treatment of NMIBC. TURB has been carried out by using the monopolar resectoscopes. Recently, the bipolar resectoscopes, which is used for transurethral resection of the prostate, was introduced for the treatment of bladder cancer. Several advantages are associated with the use of bipolar technology: the fluid of irrigation is a saline solution, so reduction of morbidity due to the TUR syndrome, especially in the procedure of long duration (>90 min). Furthermore, in the conventional monopolar (mTUR), in this system the active electrode is represented by the resecting loop, and the return electrode is a pad placed on the patient’s surface resulting …show more content…
The mean hospital stay was significantly shorter in the bTURB compared with the mTURB (2.2 vs 3.5 days) (14).

Our study showed that the histological analyses revealed transitional cell carcinoma in all patients, it was a low grade in 24 (52.2%) patients and high-grade in 22 (47.8%) patients. Pathohistological classification and the depth of tumor infiltration (pT) were determined by the pathology department. In our study, all the specimens contained muscle layers so with our novel EN Blok enucleation, the overall histological structures including specimen edges are well preserved, the adequacy of the resection can be appropriately assessed by examining the base and lateral margins. This helped to minimize unnecessary re-TURBTs or intravesical instillation therapy, reducing the bothering of patient and economic burdens. On the contrary, such criteria might be difficult for specimens from TURBTs that are often shrunk and fragmented. Our pathologic evaluations revealed 14 (30.4%) patients with pTa, 25 (54.3%) patients with pT1, and 7 (15.2%) patients with

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