A technique for resection of small bladder tumors using a flexible cystoscope on an outpatient basis: Bladder tumor resection with newly designed hotcup forceps

Purpose: We describe a technique for resecting small papillary superficial bladder tumors using a new device and flexible cystoscope. Materials and Methods: In a 79-year-old man 3 small recurrent papillary bla dder tumors were resected transurethrally on an outpatient basis. The proce dure was performed using a flexible cystoscope and a newly designed type of cup forceps with the patient under topical anesthesia. No urethral cathete r remained indwelling after surgery and the patient was discharged home the same day. Results: Bladder tumor resection using this technique was tolerable to the patient and postoperative bladder hemorrhage was not noted. Resected specim ens were adequate for pathological tumor evaluation, which revealed grade 1 stage Ta superficial transitional cell carcinoma of the bladder. Conclusions: This easy technique seems to be tolerated well by the patient. Resected specimens should be adequate for evaluating the pathological grad e and depth of stage Ta or T1 superficial bladder cancer. This technique ma y be an alternative to standard transurethral resection for removing small recurrent bladder lesions in select patients who prefer outpatient manageme nt of bladder tumors.