Abstract: Objective: The aim of this study was to assess the efficacy and
safety of bipolar plasma kinetic energy for En-Bloc enucleation of NonInvasive
Muscle Bladder Cancer (NMIBC). Methods: This study was carried
out on 46 patients diagnosed with suspected NMIBC, all patients were
achieved using ultrasonography, computed tomography scan, and diagnostic
cystoscope, Bi-polar Plasma Kinetic Enucleation of Bladder Tumor (PKEBT).
At the end of the procedure, all patients underwent an early installation
within the 6 h after Bi-polar PKEBT with a single dose of intravesical
mitomycin-c. Follow-up diagnostic cystoscopy was performed at 3, 6, and
12 months. RESULTS: Mean enucleation time was 17±5.4 minutes, mean
operative time was 27.9±11.4 minutes, mean hemoglobin deficit was 1.3±0.9
gm/dl, mean postoperative irrigation time was 1.7±2.3 hours and mean
hospital stay was 35.4±13 hours. Three procedures were associated with
intra-operative bleeding that one of them necessitated blood transfusion.
There were no other reported perioperative complications. One month postoperatively,
6 (13%) cases were diagnosed with a residual tumor and had
undergone repeat Bi-polar PKEBT. The overall recurrence rate at 12
months' follow-up was 15.2%. Conclusion: Bi-Polar Plasma Kinetic
Enucleation technique is an efficient procedure in the management of
NMIBC. As it preserves the entire lamina propria and detrusor muscle in
well intact specimens with negligible perioperative complications. |
