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Original Research

The Effectiveness of Real Time Elastography: May the Corticomedullary Strain Rate Be Used in the Diagnosis and Follow-Up of Urinary Obstruction?


1 Sağlık Bilimleri Üniversitesi, Yüksek İhtisas Araştırma ve Eğitim Hastanesi, Üroloji Bölümü, Bursa, Türkiye 
2 Acıbadem Hastanesi, Radyoloji Bölümü, Bursa, Türkiye
3 Biruni Üniversitesi Tıp Fakültesi, Üroloji Bölümü, Anabilim Dalı, İstanbul, Türkiye
 


DOI : 10.33719/yud.594994
New J Urol. 2020; 15 (1): 27-32

Abstract

Objectives: In this retrospective study we aimed to evaluate the patients with bladder tumour according to recent literature and guidelines, who diagnosed and treated properly at Kahramanmaraş Sütçü Imam University Medical Faculty.

Materials and Methods: 53 newly diagnosed bladder tumour patients undergoing transurethral resection (TUR-BT) in our clinic were enrolled into this retrospective study. Clinical and pathologi-cal data from the patients were reviewed. The patients who have at least 3 month follow-up enrolled in the study.

Results: The mean patient age was 60,94 ± 12,76 (22-87)  years and 36 (68%) patients were men, 17 (32%) patients were women. Seventeen patients did not take any intravesical therapy, 25 patients took BCG immunotherapy and 3 patients Mitomycin-C chemo-therapy; in each group no recurrence occurred at the follow-up cys-toscopy. Ten patients underwent radical sistectomy, 7 of them were muscle-invasive, 2 were progressive and 1 patient was diagnosed as leiomyosarcom. While in 9 (17%) patients lesion was multiple, the other 44 (83%) were single lesion. At the operation, in 2 cases perforation and in 1 bleeding occured. After operation 3 urethral stenosis occured and the complications were appropriately treated.

Conclusion: In our clinic the diagnosis, treatment and follow-up of the bladder tumour is performed according to the guidelines. The findings of the patients, pathology results, intravesical therapy indications and outcomes, recurrence and progression rates and complication rates are compatible with the literature.

Key words: Bladder tumour, Transurethral resection, Bacillus Calmette-Guerin


Abstract

Objectives: In this retrospective study we aimed to evaluate the patients with bladder tumour according to recent literature and guidelines, who diagnosed and treated properly at Kahramanmaraş Sütçü Imam University Medical Faculty.

Materials and Methods: 53 newly diagnosed bladder tumour patients undergoing transurethral resection (TUR-BT) in our clinic were enrolled into this retrospective study. Clinical and pathologi-cal data from the patients were reviewed. The patients who have at least 3 month follow-up enrolled in the study.

Results: The mean patient age was 60,94 ± 12,76 (22-87)  years and 36 (68%) patients were men, 17 (32%) patients were women. Seventeen patients did not take any intravesical therapy, 25 patients took BCG immunotherapy and 3 patients Mitomycin-C chemo-therapy; in each group no recurrence occurred at the follow-up cys-toscopy. Ten patients underwent radical sistectomy, 7 of them were muscle-invasive, 2 were progressive and 1 patient was diagnosed as leiomyosarcom. While in 9 (17%) patients lesion was multiple, the other 44 (83%) were single lesion. At the operation, in 2 cases perforation and in 1 bleeding occured. After operation 3 urethral stenosis occured and the complications were appropriately treated.

Conclusion: In our clinic the diagnosis, treatment and follow-up of the bladder tumour is performed according to the guidelines. The findings of the patients, pathology results, intravesical therapy indications and outcomes, recurrence and progression rates and complication rates are compatible with the literature.

Key words: Bladder tumour, Transurethral resection, Bacillus Calmette-Guerin

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