Surgical management of carcinoma urinary bladder at tertiary care teaching hospital in central India
Journal Title: Medpulse International Journal of Surgery - Year 2017, Vol 3, Issue 1
Abstract
Background: Surgery a very important part of the management of invasive urinary bladder cancer, used mostly in the more classical approach (i.e. radical cystectomy with or without bladder reconstruction) or as a component of a combined-modality bladder-sparing approach (i.e. aggressive TURBT followed by chemotherapy or immunotherapy. In central India the scientific information on bladder cancer is limited, Hence this study was designed with objectives to focus on the various demographic parameter, clinical presentation, and surgical approaches according to stage mainly TURBT and Radical cystectomy with or without bladder reconstruction with early and late complications for carcinoma urinary bladder. Material and methods: Study design was a descriptive longitudinal study. A total 43 patients underwent the surgical management in the study period of 28 months. Out of which 18 cases underwent purely TURBT and 25 cases underwent other modality of management after TURBT procedure. Final data was tabulated and statistics (mean, t-test-values etc.) were used to compare outcome of various modalities. Summary and conclusion: Carcinoma urinary bladder mostly presents with haematuria in males smokers of 7th decade of age. Cyto-histopathological diagnosis and CT Abdomen and pelvis plays the most important role in staging and management of carcinoma urinary bladder. The use of TURBT for the management of carcinoma urinary bladder has shown fewer early and late complications in post operative period, while open radical approach with or without reconstruction shows more early and late post operative complications. Hospital stay was less with TURBT as compare to open radical cystectomy with or without reconstruction. With Cystoscopic TURBT and Radical cystectomy with or without bladder reconstruction carcinoma urinary bladder can be managed surgically depending on stage of presentation. Chemotherapy may be added as and when required.
Authors and Affiliations
Jayant Parwate, Brajesh Gupta, Vidhey Tirpude, Sanjay Dakhore, Pravin Bhingare
Keywords
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