Editing Transurethral Resection of Bladder Tumour (section)

== Checklist for High-Quality Transurethral Resection of Bladder Tumour ==

* '''2021 CUA NMIBC Guidelines[https://pubmed.ncbi.nlm.nih.gov/33938798/]:'''
**'''<span style="color:#ff0000">Cystoscopy (3):</span>'''
**# '''<span style="color:#ff0000">Provide detailed description of urethra, bladder walls, and lesions (number, size, location, appearance, suspicion for concurrent / primary CIS)</span>'''
**# '''<span style="color:#ff0000">Report visual impression of clinical stage and grade</span>'''
**# '''<span style="color:#ff0000">Collect washing or voided urine cytology if not previously obtained.</span>'''
**#*In the presence of a bladder tumour, selective upper tract cytology may be falsely positive and is not recommended for most patients
** '''<span style="color:#ff0000">Transurethral Resection of Bladder Tumor (TURBT) (10):</span>'''
**# '''<span style="color:#ff0000">Use enhanced visualization techniques when available</span>'''
**# '''<span style="color:#ff0000">Use bipolar energy when indicated and available</span>'''
**#'''<span style="color:#ff0000">Completely resect all visible tumours and suspicious areas</span>'''
**#*'''Consider paralysis for lateral wall lesions'''
**#*Fulguration alone insufficient for primary tumours
**# '''<span style="color:#ff0000">Send labeled tumour specimens separately</span>'''
**# '''<span style="color:#ff0000">Deep resection of the detrusor muscle – send deep specimens separately</span>'''
**#'''<span style="color:#ff0000">Avoid excessive fulguration</span>'''
**# '''<span style="color:#ff0000">Random biopsies (bladder and prostatic urethra), if indicated</span>'''
**# '''<span style="color:#ff0000">Ensure adequate hemostasis</span>'''
**# '''<span style="color:#ff0000">Assess bladder wall integrity after resection (evaluate for perforation)</span>'''
**# '''<span style="color:#ff0000">Perform bimanual exam under anesthesia</span>''' (see below)