TRANSURETHRAL RESECTION VERSUS EN-BLOCK HO-YAG LASER ENUCLEATION FOR PAPILLARY BLADDER CANCER : PROSPECTIVE RANDOMIZED STUDY
alkhaledi, O., Shahin, A., Zayed, A., Al Sayed Eliwa, A. (2021). TRANSURETHRAL RESECTION VERSUS EN-BLOCK HO-YAG LASER ENUCLEATION FOR PAPILLARY BLADDER CANCER : PROSPECTIVE RANDOMIZED STUDY. EKB Journal Management System, 27(2), 203-208. doi: 10.21608/zumj.2019.6903.1005
osamah saleh alkhaledi; ASHRAF Mohamed Shahin; Abdellatif Abdellatif Zayed; Ahmed Mohammed Al Sayed Eliwa. "TRANSURETHRAL RESECTION VERSUS EN-BLOCK HO-YAG LASER ENUCLEATION FOR PAPILLARY BLADDER CANCER : PROSPECTIVE RANDOMIZED STUDY". EKB Journal Management System, 27, 2, 2021, 203-208. doi: 10.21608/zumj.2019.6903.1005
alkhaledi, O., Shahin, A., Zayed, A., Al Sayed Eliwa, A. (2021). 'TRANSURETHRAL RESECTION VERSUS EN-BLOCK HO-YAG LASER ENUCLEATION FOR PAPILLARY BLADDER CANCER : PROSPECTIVE RANDOMIZED STUDY', EKB Journal Management System, 27(2), pp. 203-208. doi: 10.21608/zumj.2019.6903.1005
alkhaledi, O., Shahin, A., Zayed, A., Al Sayed Eliwa, A. TRANSURETHRAL RESECTION VERSUS EN-BLOCK HO-YAG LASER ENUCLEATION FOR PAPILLARY BLADDER CANCER : PROSPECTIVE RANDOMIZED STUDY. EKB Journal Management System, 2021; 27(2): 203-208. doi: 10.21608/zumj.2019.6903.1005

TRANSURETHRAL RESECTION VERSUS EN-BLOCK HO-YAG LASER ENUCLEATION FOR PAPILLARY BLADDER CANCER : PROSPECTIVE RANDOMIZED STUDY

Zagazig University Medical Journal
Article 236, Volume 27, Issue 2, March 2021, Pages 203-208    PDF (300.07 K)
Document Type: Original Article
DOI: 10.21608/zumj.2019.6903.1005
Authors
osamah saleh alkhaledi* 1; ASHRAF Mohamed Shahin2; Abdellatif Abdellatif Zayed3; Ahmed Mohammed Al Sayed Eliwa4
1zagazig university, urolgy department
2ZAGAZIG UNIVERSITY UROLOGY DEPARTMENT
3zagazig university , urology department
4zagazig university urology department
Abstract
objectives:
to compare between transurethral en-block ho-yag laser enucleation and
transurethral resection for papillary bladder cancer.

methods:
this is a prospective randomized study, carried out at urology department,
zagazig university hospitals during the period from 15/7/2017 to 15/2/2018. aimed to
compare between laser en-block enucleation and monopolar tubrt for papillary
bladder cancer as regard intraoperative outcomes (perforation , obturator jerk and
bleeding ) and post operative outcomes ( wash time ,catheter time , hospital stay,
blood transfusion ,residual )

results:
we studies 52 patients randomized in two groups, group for Ho-yag laser enblock enucleation and group for monopolar TURBT. We found that Ho-Yag laser was
super to TURBT in term of intraoperative complications and postoperative

conclusions:
Laser enucleation appear to be reliable procedure with many advantages
over monopolar TURBT , despite it need longer resection time ,it reduce intraoperative
complications and post operative complications , it preserve tumor histological
architecture and gives better tumor staging , it allow to remove the tumor completely
from it’s bed so decrease the probability of local persistence of malignant tissue and
incidence of tumor recurrence .
Keywords
Ho-yag-laser; enblock; Enucleation; NMIBC
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