Stein et al. found that 43% of 1054 patients, thought to have clinically confined tumors, were understaged and Ficcaro et al. found that 70% of what were thought to be T2 or less were understaged in study of 140 patients who had cystectomies. From the book: Bladder Cancer: Diagnosis, Therapeutics, and Management By Cheryl Lee, David P. Wood
Reference page 56
These studies demonstrate a couple of things to me, the untrained researcher of miscellaneous stuff about bladder cancer, and that is: First, you want the most skilled surgeon you can find and second, you always want to get a reTURBT.
Feel free to draw your own conclusions from the data, and let me know if you feel my conclusions are wrong.
Rather than post all of these individually, I am giving the link to the website.
This is a 3 part series instructional video for urologists on TURBTs.
So if you want to know lots of stuff about the procedure, what they need to be careful of, how they do it, what a tumor looks like, etc. this is pretty cool.
If you don't want to know this stuff, then don't watch.
Shows all of the tools, shows when to use what type of loop (that little metal wire looking thing you see in the videos that gets electrified to use as a cutting tool).
One thing to note. In the 3rd video it sounds like the narrrator is saying left and right urethral orifice. He's not. He is saying 'uretal'. You only have one urethra so there is no left and right and besides that, the camera is going through the urethra into the bladder. They check that out while they are going in to see if anything looks out of the ordinary.
I saw a couple of my own cystos on the TV monitor and it was kind of cool. When I saw mine though it was all looking good. This shows what the tumors look like in case you ever wondered. My second time seeing the cystoscopy was looking inside my neobladder and that looks nothing like a bladder on the inside! NO, these videos are not me.
Once you get to the page, scroll down till you see the links to the three files (they are mpg files) and then click each one in series.
The tabs at the top of the page can take you to the abstract that describes everything. It asks for a sign in if you want to read the full article but the abstract doesn't require that. I didn't create an account so I don't know if costs money to get the full article. You will have to check that out yourself if you are interested.