Editing Transurethral Resection of Bladder Tumour (section)

== Other considerations ==

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* '''The use of random biopsies to identify CIS in otherwise normal-appearing mucosa remains controversial.''' 
**The current consensus is that random biopsies are not indicated in low-risk patients (i.e., those with low-grade papillary tumors and negative cytology), but there remains no consensus with regard to patients with high-grade disease, and most urologists perform random biopsies in this setting.
* '''Prostatic urethral biopsy using the cutting loop may be performed at the time of TURBT, especially if neobladder creation is anticipated for high-risk disease''', but bleeding may be more common
* '''Combined TURBT and TURP'''
**'''Traditional teaching is that TURP and TURBT of a low-grade bladder tumor may be performed at the same setting'''
**'''TURBT of a high-grade bladder tumor should not be performed coincident to TURP to avoid tumor seeding and possible intravasation of tumor cells'''