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. 2021 Aug;15(8):230–239. doi: 10.5489/cuaj.7487

Table 3.

Stepwise checklist for high-quality TURBT MIBC objective: Provide enough information for adequate risk stratification

MIBC objective: Provide enough information for adequate risk stratification
Cystoscopy:

  1. Provide detailed description of urethra, bladder walls, and lesions (number, size, appearance, suspicion for concurrent/primary CIS)

  2. Report visual impression of clinical stage and grade

  3. Collect washing or voided urine cytology if not previously obtained

TURBT:

  1. Completely resect all visible tumors and suspicious areas

  2. Send labeled tumor specimens separately

  3. Avoid excessive fulguration

  4. Use enhanced visualization techniques when available

  5. Use bipolar energy when indicated and available

  6. Deep resection of the detrusor muscle – send deep specimens separately

  7. Random biopsies (bladder and prostatic urethra) if indicated

  8. Ensure adequate hemostasis

  9. Assess bladder wall integrity after resection (evaluate for perforation)

  10. 10. Perform bimanual exam under anesthesia

CIS: carcinoma in situ; NMIBC: non-muscle-invasive bladder cancer; TURBT: transurethral resection of bladder tumor.