Should continuous bladder irrigation be recommended when single instillation of intravesical chemotherapy cannot be used after transurethral resection in low-risk non-muscle invasive bladder cancer?

Joaquin Chemi, Gustavo Martin Villoldo
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Abstract

Reducing the recurrence rate in patients with low-risk non-muscle invasive bladder cancer patients is a critical concern in the urologic community. The gold standard treatment is single instillation (SI) of intravesical chemotherapy after transurethral resection of bladder tumor (TURBT), but unfortunately, it is underused. Continuous bladder irrigation (CBI) after TURBT is an alternative strategy to SI for the prevention of bladder tumor implantation and recurrence. The aim of this review was to present the evidence that supports CBI after TURBT when SI is not possible.

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低风险的非肌肉浸润性膀胱癌经尿道切除后不能单次膀胱内灌注化疗,是否应该推荐持续膀胱冲洗?
降低低危非肌肉浸润性膀胱癌患者的复发率是泌尿外科关注的关键问题。经尿道膀胱肿瘤切除术(turt)后膀胱内单次灌注化疗是金标准治疗方法,但遗憾的是,这种治疗方法尚未得到充分利用。TURBT术后持续膀胱灌洗(CBI)是一种预防膀胱肿瘤植入和复发的替代策略。本综述的目的是提供证据,支持在不可能进行SI的情况下在TURBT后行CBI。
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