015IC - Contemporary Techniques in Transurethral Resection of Bladder Tumor

Friday, April 28, 2023

1:30 PM – 3:30 PM CST

Location: S103C

Instructional Course Director(s)

Max Kates, MD

Johns Hopkins

Instructional Course Faculty(s)

Maria Ribal Caparros, MD (she/her/hers)

University of Barcelona
Jeremy Teoh, MD (he/him/his)

Associate Professor
The Chinese University of Hong Kong
JL

Jen-Jane Liu, MD

Director of Urologic Oncology, Associate Residency Program Director
Oregon Health & Science University

Course Description: The most important aspect of bladder cancer management is the transurethral resection of the bladder tumor (TURBT). In this course, attendees will gain important skills in novel techniques for TURBT. This will include knowing when and how to perform restaging TURBTs, en bloc bladder tumor resections, resection of the ureteral orifice and in-office ablation. The use of enhanced imaging techniques including blue light cystoscopy and narrow band imaging will be reviewed. Additionally, attendees will learn to minimize risk of complications during TURBT including obturator reflex, bladder perforation, excessive bleeding and transurethral resection syndrome. At the conclusion of the course, attendees will return to their practices with new techniques to maximize benefit and minimize risk for their bladder cancer patients undergoing TURBT.

Learning Objectives:

Utilize the AUA Guidelines for muscle and non-muscle invasive bladder cancer in their practice in order to select appropriate patients for TURBT and ensure a high-quality resection.
Perform techniques during TURBT that minimize risk of operative complications, specifically obturator reflex, bladder perforation, heavy bleeding.
Endoscopically manage bladder tumor involving the ureteral orifice. Specifically, attendees will be able to utilize advanced resection techniques of the ureteral orifice and understand when and when not to utilize ureteral stents.
Perform en bloc bladder resections in appropriately selected cases of bladder cancer. Attendees will understand the different modalities (bipolar electrocautery versus laser) for performing en bloc resections and the rationale behind their use.
Perform in-office ablation for recurrent low grade bladder tumors, and understand the most appropriate patients to select for these procedures.