Therapeutic effects and influencing factors of transurethral resection of bladder tumor in the treatment of cystitis glandularis
10.3969/j.issn.1009-8291.2024.08.012
- VernacularTitle:经尿道膀胱肿物电切术治疗腺性膀胱炎疗效的评估及影响因素分析
- Author:
Jian LI
1
;
Weilin FANG
1
;
Qixiang SONG
2
;
Xin SONG
1
;
Tingting LYU
1
;
Jin HUANG
1
;
Xiang JI
1
;
Zhikang CAI
1
;
Zhong WANG
1
;
Jianwei LYU
1
Author Information
1. Department of Urology and Andrology, Shanghai Gongli Hospital, Shanghai 200135
2. Department of Urology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 201112, China
- Publication Type:Journal Article
- Keywords:
cystitis glandularis;
transurethral resection of bladder tumor;
global response assessment;
postoperative outcome
- From:
Journal of Modern Urology
2024;29(8):719-722
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To evaluate the efficacy of transurethral resection of bladder tumor (TURBT) in treating cystitis glandularis (CG), and to explore the influencing factors. 【Methods】 A retrospective analysis was conducted on 243 CG patients treated with TURBT during Jan.2013 and Dec.2020 in our hospitals.Postoperative efficacy was assessed using global response assessment (GRA).The correlation between GRA score and the demographic characteristics, comorbidities, initial complaints, and postoperative recurrence was determined with logistic regression analysis. 【Results】 Among the 243 patients, 3.70% (9/243) had dysplasia, 2.47% (6/243) had exuberant hyperplasia of Brinell’s nest, and 2.06%(5/243) had intestinal metaplasia.The mean GRA score was (2.02±0.72) after a follow-up of (47.10±28.53) months.Re-operation was performed in 10.29% (25/243) of the patients due to recurrence, and the improvement of hydronephrosis and dysuria was 70.59% (12/17) and 50.00% (15/30), respectively.Pelvic fat increase developed in 1 patient (0.41%) after surgery.Logistic regression analysis showed that postoperative GRA score was not significantly correlated with demographic characteristics, body mass index, comorbidities, alcoholism and postoperative recurrence (P>0.05). 【Conclusion】 TURBT is an effective method in the treatment of CG, which can significantly improve patients’ hydronephrosis and dysuria.However, approximately 10% of the patients experience recurrence, necessitating further surgery, which suggests the need for vigilance regarding potential recurrence during treatment.
