Objective: Bladder cancer is the second most common cancer of the urinary system cancers after prostate cancer. Standard treat-ment of superficial bladder cancer is transurethral resection (TUR). Effect of surgeon’s experience on post-operative recurrence was evaluated.
Materials and Methods: We carried out a retrospective evalu-ation of 227 patients who had undergone complete TUR because of the superficial bladder cancer between January 2002 and January 2009. All patients were applied mitomycin after the operation. All patients underwent control cystoscopy at the third month of the op-eration. Surgeons were divided into three groups; 0-3 year resident doctor (group 1), 4-5 year resident doctor (group 2) and specialist doctor.
Results: The mean age of the patients was 65,7±12,6, 127 pa-tients were primary bladder cancer while 100 were recurrent blad-der cancer. Recurrence rate was higher in the patients whom un-dergone TUR because of bladder cancer than the primer patients. When we compared group1 with group 2 and 3, the difference was statistically significant while there was no significant difference be-tween group 2 and group3.
Conclusion: Experience of the surgeon should be considered together with other parameters that are known to increase the rate of recurrence.
Key Words: Bladder cancer, transurethral resection, recurrence
Abstract
Objective: Bladder cancer is the second most common cancer of the urinary system cancers after prostate cancer. Standard treat-ment of superficial bladder cancer is transurethral resection (TUR). Effect of surgeon’s experience on post-operative recurrence was evaluated.
Materials and Methods: We carried out a retrospective evalu-ation of 227 patients who had undergone complete TUR because of the superficial bladder cancer between January 2002 and January 2009. All patients were applied mitomycin after the operation. All patients underwent control cystoscopy at the third month of the op-eration. Surgeons were divided into three groups; 0-3 year resident doctor (group 1), 4-5 year resident doctor (group 2) and specialist doctor.
Results: The mean age of the patients was 65,7±12,6, 127 pa-tients were primary bladder cancer while 100 were recurrent blad-der cancer. Recurrence rate was higher in the patients whom un-dergone TUR because of bladder cancer than the primer patients. When we compared group1 with group 2 and 3, the difference was statistically significant while there was no significant difference be-tween group 2 and group3.
Conclusion: Experience of the surgeon should be considered together with other parameters that are known to increase the rate of recurrence.
Key Words: Bladder cancer, transurethral resection, recurrence