Neoformazioni vescicali superficiali


Terapia:
1.   TURB (Trans Urethral Resection Bladder): permette di avere un esame istologico e quindi la stadiazione della malattia tumorale vescicale.
2.   Laser Tullio: la neoformazione può essere ablata o, qualora fosse necessaria la biopsia, può essere incisa ed ablata. L'utilizzo del laser permette una eccellente emostasi e pertanto ha sostituito la TURB. Se la scelta terapeutica rimane la TURB, noi di routine utilizziamo successivamente a questa il laser, per ottenere una migliore diatermocoagulazione, una migliore emostasi ed una riduzione del rischio di recidive.

Abstract:
Thulium laser resection via a flexible cystoscope for recurrent non-muscle-invasive bladder cancer: initial clinical experience. 
Comparing the safety and efficiency of conventional monopolar, plasmakinetic, and holmium laser transurethral resection of primary non-muscle invasive bladder cancer. 
Clinical observation on 2 micron laser for non-muscle-invasive bladder tumor treatment: single-center experience. 
2-micrometer continuous wave laser treatment for multiple non-muscle-invasive bladder cancer with intravesical instillation of epirubicin. 
Tm:YAG laser en bloc mucosectomy for accurate staging of primary bladder cancer: early experience. 
Current evidence for transurethral laser therapy of non-muscle invasive bladder cancer. 
Holmium:YAG laser vaporization of recurrent papillary tumours of the bladder under local anaesthesia. 
Holmium YAG laser treatment of superficial bladder carcinoma. 
Endoscopic therapy of superficial bladder cancer in high-risk patients: Holmium laser versus transurethral resection. 
Holmium laser treatment for low grade, low stage, noninvasive bladder cancer with local anesthesia and early instillation of mitomycin C.