Comparative outcomes of holmium laser En bloc resection in superficial bladder tumors: Focus on operative time, catheterization, and hospital stay- A cross-sectional study.

Thota  Siddhartha; Suvit  Jumde

doi:10.51168/sjhrafrica.v6i6.1873

Authors

Thota Siddhartha Assistant Professor, Department of Urology, Mahatma Gandhi Medical College and Research Institute, Puducherry, India
Suvit Jumde Assistant Professor, Department of Urology, Himalayan institute of medical Sciences, Dehradun, India

DOI:

https://doi.org/10.51168/sjhrafrica.v6i6.1873

Keywords:

Tumor, Bladder, TURBT, Holmium Laser, Outcomes, Transurethral resection of the bladder tumor

Abstract

Background

In 2016, bladder cancer accounted for 186,000 fatalities and 437,000 new cases, making it the tenth most frequent cancer worldwide. The incidence of bladder urothelial carcinoma varies greatly by geography, with Eastern Europe and Asian nations having the lowest rates and Western Europe and North America having the greatest frequency.

Objectives- The purpose of the study was to evaluate the results of holmium laser En Bloc resection for superficial bladder cancers.

Materials and methods

It was a cross-sectional, observational study. The study was carried out in the Department of Urology, Mahatma Gandhi Medical College and Research Institute, Puducherry, India. The study was conducted for one and a half years, that is, from December 2021 to Jun 2023. In all, 24 patients were enrolled. Patients over the age of 18 with superficial bladder cancer who intend to have their bladder tumors removed by transurethral resection (TURBT) at the Mahatma Gandhi Medical College and Research Institute in Puducherry within six months of receiving approval from the institutional ethics committee are included in this study.

Results

Nine patients (37.5%) had tumors in the right lateral bladder wall, while six patients (25%) had tumors in the posterior wall. Patients with multiple lesions used a larger median number of analgesic vials after surgery (2.00; IQR: 2.00–3.00) than patients with single lesions (1.00; IQR: 1.00–2.00). With a p-value of 0.017, this difference was statistically significant.

Conclusion

For the treatment of superficial bladder cancers, holmium laser en bloc excision is a secure and efficient method. In patients with single lesions, the method was linked to significantly lower analgesic requirements, shorter catheterization and hospital stays, and acceptable operative timeframes.

Recommendations

Further research, including larger-scale studies, is necessary to validate these observations and enhance the understanding of TURBT procedures' efficacy and safety.

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