The usefulness of transarterial embolization before transurethral resection of bladder tumor for patients with large bladder tumors.

IF 1.8 3区医学 Q3 UROLOGY & NEPHROLOGY

International Journal of Urology Pub Date : 2025-02-06 DOI:10.1111/iju.15663

Yusuke Yamada, Motohiro Taguchi, Kimihiro Shimatani, Toeki Yanagi, Akihiro Kanematsu, Yasukazu Kako, Haruyuki Takaki, Koichiro Yamakado, Takashi Yamasaki, Seiichi Hirota, Shingo Yamamoto

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引用次数: 0

Abstract

Objective: To assess the usefulness of transarterial embolization (TAE) before a transurethral resection of bladder tumor (TURBT) procedure for large bladder tumors, intra- and postoperative outcomes were retrospectively compared between patients with and without TAE before TURBT.

Methods and results: Thirty-seven patients underwent TURBT for complete resection of bladder tumors with a diameter of 3 cm or greater between January 2013 and December 2023 at the Department of Urology, Hyogo Medical University. For 13, TAE was performed 1 or 2 days before TURBT. In the TAE group, tumor volume was significantly larger [74.1 ± 42.7 (28.9-190.5) cm³ vs. 17.3 ± 14.3 (6.1-69.8) cm³, p < 0.05] and operative time significantly shorter [119 ± 49.8 (74-263) min vs. 143 ± 28.1 (107-218) min, p = 0.012] as compared with the non-TAE group. Furthermore, the change in hemoglobin level was significantly less in the TAE group [-0.6 ± 0.8 (0.4 to -2.3) mg/dL vs. -1.0 ± 0.7 (0.1 to -3.1) mg/dL, p = 0.008].

Conclusion: TAE before TURBT for a large bladder tumor contributes to less blood loss and shorter operative time, thus allowing resection to be performed safely without serious complications.

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来源期刊

International Journal of Urology 医学-泌尿学与肾脏学

CiteScore

4.70

自引率

11.50%

发文量

340

审稿时长

3 months

期刊介绍： International Journal of Urology is the official English language journal of the Japanese Urological Association, publishing articles of scientific excellence in urology. Submissions of papers from all countries are considered for publication. All manuscripts are subject to peer review and are judged on the basis of their contribution of original data and ideas or interpretation.