الفهرس 
ANATOMY OF THE URINARY BLADDEROnly 14 pages are availabe for public view
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Abstract
T
his is a retrospective study, including 30 patients presented with NMIBC (non-muscle invasive bladder cancer) who were diagnosed on clinical and pathological basis.
Objectives of our study were to evaluate the early second look cystoassessment in detecting recurrent tumors.
All patients underwent complete preoperative clinical evaluation with detailed history taking, full examination, laboratory investigation (including urine analysis and routine preoperative laboratory investigations) and radiological investigations.
The initial TURBT was done in standardized manner with complete resection of all visible tumors. Deep resection was done to ensure that muscle layer was taken and sent separately to histo-pathological diagnosis. Staging was done according TNM classification 2009 and grading was done according to the WHO classification 2004.
The 30 patients were statistically performed as regard age, sex, risk factors, main presentation, tumor stage and grade.
All patients underwent 2nd look cystoassessment 4-8 weeks after complete resection in the initial TURBT.
Cystoscopic findings of the second look cystoassessment revealed; 18 patients (60%) had no tumors, while 12 patients (40%) had positive second look.
Recurrent tumors had a statistically positive significance with the initial tumor size ≥ 3 cm, and those who didn’t receive intravesical BCG.
There was no significant statistical difference in the rate of complication between the first TURBT and 2nd look cystoassessment in this study. All these complication was treated conservatively and patients with bleeding did not necessitate blood transfusion.