سرطان المثانة

What is TURBT?

Transurethral resection of bladder tumor is both diagnostic (provides tissue for staging) and therapeutic (removes visible tumor) for bladder cancer. The depth of resection (must include muscle) determines accurate staging — critical for treatment planning.

Why China?

• NBI-guided TURBT: Narrow-band imaging improves CIS detection
• Cost: $2,500-$4,500 vs. $12,000-$25,000 in the US
• Same-day intravesical chemo: Mitomycin or epirubicin instillation reduces recurrence by 35%
• En-bloc resection: ERBT technique pioneered in Asia for accurate staging

Who is a candidate?

• Suspected bladder cancer (visible tumor or positive cytology)
• Surveillance for recurrent NMIBC
• Adequate to tolerate spinal/general anesthesia

Outcomes

Complete resection rate: >95%. Detrusor muscle in specimen: 95%+ at expert centers (vs 50-70% community). 5-year survival NMIBC: 90%+.