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THE PLACE OF RE-TRANSURETHRAL RESECTION IN THE SURGICAL TREATMENT OF BLADDER CANCER

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Purpose: Development of prevention of recurrence of muscular non-invasive bladder cancer after transurethral resection. Materials and methods: In the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology, the results of surgical treatment of 72 patients with muscular non-invasive bladder cancer for the period 2014-2016 were retrospectively studied. There were 27 women (37.5%), men 45 (62.5%), average age 62 ± 2.4 years. Median observation 26 months with stage T1N0M0. Patients were divided into 2 groups. Group № 1 included patients who received standard treatment (TUR + intravesical monochemotherapy), and group № 2 included TUR + ReTUR + intravesical monochemotherapy. Results: The relapse-free overall survival in both groups is not statistically significant, that is, there is no difference, p = 0.353. This can be explained by the heterogeneity of patients in groups. In the group with low risk in patients who underwent ReTUR, the statistical significance is higher in the rates of relapse-free survival than in the control group. At the same time, at high risk, again, we did not notice statistical differences in the comparative groups (p = 0.314). Conclusion: Summarizing the above, we can say that ReTUR in muscular noninvasive bladder cancer reduces the likelihood of early recurrence, has more informativeness in the re-placement of the disease. ReTUR is a multifunctional surgical intervention and is recommended to be used in everyday practice in the treatment of this disease.

AUTHORS

N.Rakhimov

R.Khoshimov

S.Khayitboeva

Tags

# ковук саратони# рецидив# трансуретрал резекция# рак мочевого пузыря# трансуретральная резекция# bladder cancer# recurrence# transurethral resection

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