Surgery illustrated - Focus on details en bloc transurethral resection of bladder lesions: A trick to retrieve specimens up to 4.5 cm

Angelo Naselli, Carlo Introini, Francesco Germinale, Bruno Spina, Paolo Puppo

Research output: Contribution to journalArticlepeer-review

Abstract

The present technique maintains the integrity of voluminous lesions during extraction. Pathological analysis is consequently improved and a proper evaluation of the surgical margins is also possible. Papillary lesions of up to 4.5 cm are amenable to en bloc resection and extraction, while solid lesions comply less well with the urethra and sometimes are very diffi cult to extract. Nevertheless, the main limitation of the technique remains that lesions originating from the bladder neck are not amenable to en bloc resection, while particular attention should be paid during resection of lesions involving the ureteric orifi ce to avoid ureteric stripping.

Original languageEnglish
Pages (from-to)960-963
Number of pages4
JournalBJU International
Volume109
Issue number6
DOIs
Publication statusPublished - Mar 2012

ASJC Scopus subject areas

  • Urology

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