Evaluating the Quality of Primary Transurethral Resection of Bladder Tumor: A Nine-Year Review at a Tertiary Healthcare Center

• Published in: Curēus (Palo Alto, CA) Vol. 16; no. 8; p. e68143
• Main Authors: Khattak, Muhammad Ali, Bangash, Muhibullah, Aziz, Wajahat, Ghaffar, Sara, Asghar, Ayesha, Iqbal, Yasir, Abdulrasheed, Habeeb, Khan, Awais Nawaz, Khan, Asad Ali
• Format: Journal Article
• Language: English
• Published: United States Cureus Inc 29.08.2024; Cureus
• Subjects: Arthritis; Asthma; Biopsy; Bladder cancer; Body mass index; Cardiovascular disease; Chemotherapy; Chronic obstructive pulmonary disease; Demographics; Diabetes; Epilepsy; Histopathology; Hospitals; Hypertension; Hypothyroidism; Ischemia; Kidney diseases; Length of stay; Medical prognosis; Metabolic disorders; Morbidity; Parkinson's disease; Patients; Schizophrenia; Surgery; Tumors; Urology; Pakistan; single instillation of chemotherapeutic agent; transurethral resection of bladder tumor; european association of urology; detrusor muscle; body mass index; length of stay; aga khan university hospital
• DOI: 10.7759/cureus.68143
• ISSN: 2168-8184

This study aimed to assess the quality of primary transurethral resection of bladder tumor (TURBT) procedures performed at Aga Khan University Hospital (AKUH) over nine years, focusing on proper documentation, completeness of tumor resection, quality of histopathology reports, complication rates, and adherence to European Association of Urology (EAU) guidelines. A retrospective analysis of patients aged 25-75 who underwent primary TURBT at AKUH between 2010 and 2019 was done. Patients with incomplete records, concomitant procedures, or those who underwent emergency TURBT were excluded. Data was collected on patient demographics, clinical presentation, intraoperative details, and histopathology reports. Statistical analysis was performed using SPSS Version 27.0. 300 patients were initially identified, with 265 meeting the inclusion criteria. The mean age was 61.5 years, with 83% being male. Complete tumor resection was achieved in 35% (n=92) of cases, while deep biopsy was taken in 85% (n=226). Detrusor muscle (DM), a marker of resection quality, was noted in 75% (n=200) of histopathology reports. However, documentation quality varied, with 54% (n=143) of cases lacking clear information on resection completeness. The administration of a single instillation of a chemotherapeutic agent (SICA) was recorded in 79% (n=210) of patients, and the 30-day postoperative complication rate was monitored. The study highlights areas for improvement in the quality of TURBT procedures at AKUH, particularly in the documentation of resection completeness and adherence to established guidelines. Ensuring thorough resection and proper documentation is critical to optimizing patient outcomes and future management plans.