| TURBT Quality Audit |
| A high quality TURBT includes |
| 1. Obtaining the information necessary for accurate classification of clinical stage and cancer risk. |
| 2. Complete resection of all visible tumors and suspicious areas when safe, feasible and bladder preservation is planned. |
| 3. Careful assessment of bladder integrity after tumor resection |
| Procedure Checklist |
| Assessment of prognostic factors |
Acceptable responses |
| 1. Describe number of tumors |
1, 2–5, >5, diffuse |
| 2. Describe size of largest tumor |
For reference: end of cutting loop is approximately 1 cm wide |
| 3. Describe characteristics of tumors |
Sessile, nodular, papillary, flat |
| 4. Describe recurrent versus primary tumors |
Recurrent, primary |
| 5. Assess for presence of carcinoma in situ
|
Suspicious, not suspicious |
| 6. Report 2010 AJCC clinical tumor stage |
cTis, cTa, cT1, cT2, cT3, cT4 |
| Intraoperative processes |
| 7. Bimanual exam under anesthesia |
Yes, no |
| 8. Visually complete resection |
Yes, no |
| 9. Visualization of detrusor muscle in resection base |
Yes, no |
| 10. Visual evaluation for perforation |
Yes, no |
| Options |
| 11. Photographic documentation of resection bed |
Yes, no |
| 12. Drawing or description of tumor location |
Yes, no |
| 13. Separate deep biopsy sent from resection bed |
Yes, no |
