047IC - Contemporary Techniques in TURBT

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 TUR 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 Objective 1: Perform techniques during TURBT that minimize risk of operative complications, specifically obdurator reflex, bladder perforation, heavy bleeding.

Learning Objective 2: 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.

Learning Objective 3: Perform en bloc bladder resections in appropriately selected cases of bladder cancer. Attendees will define the different modalities ( bipolar electrocautery vs laser) for performing en bloc resections and the rationale behind its use.

Learning Objective 4: 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.

Learning Objective 5: Perform in office ablation for recurrent low grade tumors, and understand the most appropriate patients to select for these procedures.