Abstract：
OBJECTIVE:To systematically review prospective trials aimed at the role of restaging transurethral resection (reTUR) to define the group of patients with bladder cancer who would benefit. MATERIALS AND METHODS:A systematic review of the literature in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines was conducted. RESULTS:Of 120 trials, 7 met the inclusion criteria. Most studied populations were high-risk non-muscle-invasive bladder cancer patients. Low-risk cancers as well as muscle-invasive disease were analyzed in only 1 trial. Consistently through the publications, reTUR improved staging with the rates of muscle-invasive disease mounting to 17.6% when primary resection was deemed to be complete. Although all trials corroborated staging role of reTUR, only 4 provided recurrence and progression outcomes, the first being significantly lower in the group of second early resection. In 2 studies with the longest follow-up and the greatest number of patients with high-risk non-muscle-invasive bladder cancer, progression rates were found to be improved. In one trial, reTUR was associated with better response to bacille Calmette-Guérin. CONCLUSION:The data convincingly suggest that early second resection improves staging and reduces the recurrence as well as progression rates of high-risk bladder tumors. reTUR brings benefit to those subjected to bacille Calmette-Guérin. However, additional surgery would not modify treatment plan in those with low-risk disease.
journal_name
Urologyjournal_title
Urologyauthors
Dobruch J,Borówka A,Herr HWdoi
10.1016/j.urology.2014.06.005subject
Has Abstractpub_date
2014-10-01 00:00:00pages
881-5issue
4eissn
0090-4295issn
1527-9995pii
S0090-4295(14)00583-4journal_volume
84pub_type
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