Strahl Lucas, Borgmann Hendrik, Struck Julian Peter, Salem Johannes, Kuru Timur H
CUROS Urologisches Zentrum, Cologne, Germany.
Klinik für Urologie und Kinderurologie, Universitätsklinikum Brandenburg an der Havel, Brandenburg an der Havel, Germany.
Cancer Rep (Hoboken). 2025 Mar;8(3):e70120. doi: 10.1002/cnr2.70120.
Transurethral resection of the bladder (TURB) is a common urological procedure, typically performed in an inpatient setting. This study aims to investigate safety, quality, and patient satisfaction aspects of TURB in an outpatient setting, reflecting the emerging strategy of outpatientization of surgical procedures in the German healthcare system.
We retrospectively analyzed a cohort of 100 patients who underwent outpatient TURB. The standard procedure was day surgery under general anesthesia and dismissal with or without a urinary catheter. The analysis focused on postoperative complications, resection quality, recurrence within 6 months, and patient satisfaction. Data was collected from electronic medical records and patient interviews and analyzed using descriptive and multivariate statistics.
The cohort consisted primarily of male patients (79%) with a median age of 70 years. The average surgery time was 11.3 min with a mean of 1.6 tumors resected. Histopathological findings leaned toward superficial bladder tumors with a mean recurrence rate of 11.6%. Postoperative complications were mostly mild, with only 5% of patients suffering from complications rated as Clavien-Dindo ≥ 2 and no complications of grade ≥ 4. High levels of patient satisfaction were reported, with 83% preferring outpatient TURB to inpatient treatment for future surgery.
Outpatient TURB appears to be a safe and effective alternative to inpatient surgery for selected patients with bladder tumors ≤ 4 cm, offering comparable surgical and oncological outcomes while enhancing patient satisfaction and reducing healthcare system burden.
经尿道膀胱肿瘤切除术（TURB）是一种常见的泌尿外科手术，通常在住院环境下进行。本研究旨在调查门诊环境下TURB的安全性、质量和患者满意度，这反映了德国医疗系统中外科手术门诊化的新兴策略。
我们回顾性分析了100例行门诊TURB的患者队列。标准手术方式为全身麻醉下的日间手术，术后带或不带导尿管出院。分析重点为术后并发症、切除质量、6个月内复发情况及患者满意度。数据从电子病历和患者访谈中收集，并使用描述性和多变量统计进行分析。
该队列主要由男性患者（79%）组成，中位年龄为70岁。平均手术时间为11.3分钟，平均切除肿瘤1.6个。组织病理学结果倾向于浅表性膀胱肿瘤，平均复发率为11.6%。术后并发症大多较轻，只有5%的患者出现Clavien-Dindo≥2级并发症，无≥4级并发症。患者满意度较高，83%的患者表示未来手术更倾向于门诊TURB而非住院治疗。
对于选定的膀胱肿瘤≤4 cm的患者，门诊TURB似乎是住院手术的一种安全有效的替代方案，在提供可比的手术和肿瘤学结果的同时，提高了患者满意度并减轻了医疗系统负担。
