Transurethral Resection of Bladder Tumour: Difference between revisions

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 == Diverticular tumours ==
-* '''Because the underlying detrusor is absent, accurate staging is difficult and increased risk of bladder wall perforation'''
+* '''Accurate staging of diverticular tumors is difficult because the underlying detrusor is absent and increased risk of bladder wall perforation'''
 * '''Invasion beyond the diverticular lamina propria immediately involves perivesical fat (stage T3a by definition)'''
-* '''Treatment'''
+* '''Management'''
-** Low-grade diverticular tumors are best treated with a combination of resection and fulguration of the base.
+** '''If low-grade diverticular tumour, use combination of resection and fulguration of the base.'''
 ***'''Conservative resection can be followed with subsequent repeat resection''' if the final pathologic interpretation is high grade.
-** '''High-grade tumors require adequate sampling of the tumor base, often including perivesical fat,''' despite the near certainty of bladder perforation.
+** '''If high-grade diverticular  tumour, adequate sampling of the tumor base, often including perivesical fat, is required,''' despite the near certainty of bladder perforation.
 ***An indwelling catheter usually allows healing within a few days.
 ***'''Partial or radical cystectomy should be strongly considered for high-grade diverticular lesions'''