{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:30:13Z","timestamp":1761845413893,"version":"3.40.4"},"reference-count":28,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T00:00:00Z","timestamp":1626739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T00:00:00Z","timestamp":1626739200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2022]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Introduction:&lt;\/i&gt;&lt;\/b&gt; We investigated the efficacy of a urethral catheter alone for intraperitoneal perforation during transurethral resection of bladder tumor (TURBT). &lt;b&gt;&lt;i&gt;Patients and Methods:&lt;\/i&gt;&lt;\/b&gt; We retrospectively evaluated the medical records of 4,543 patients who underwent TURBT from January 2000 to December 2017 using the Clinical Data Warehouse system. The clinicopathologic characteristics, recurrence-free survival, and progression-free survival were compared between the patient groups with intraperitoneal perforation treated with the Foley catheter alone, extraperitoneal perforation, and matched control TURBT. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; Intraperitoneal perforation and extraperitoneal perforation were observed in 16 (35.6%) and 29 (64.4%) patients, respectively. In the intraperitoneal perforation group, 11 (68.8%), 2 (12.5%), and 3 (18.8%) patients were treated with the Foley catheter alone, additional percutaneous drainage, and delayed open surgery, respectively. The use of the Foley catheter alone in patients with intraperitoneal perforation of smaller size than the cystoscope or no pelvic radiotherapy history showed improved efficacy without sequelae or therapeutic delay. One of the 2 patients with the size of the intraperitoneal perforation larger than the cystoscope was successfully treated with the Foley catheter alone, whereas the other patient underwent delayed surgical repair. There was no difference in recurrence-free survival and progression-free survival of the intraperitoneal perforation treated with the Foley catheter alone compared to those of the matched control TURBT (&lt;i&gt;p&lt;\/i&gt; = 0.909, &lt;i&gt;p&lt;\/i&gt; = 0.518) and the extraperitoneal perforation (&lt;i&gt;p&lt;\/i&gt; = 0.458, &lt;i&gt;p&lt;\/i&gt; = 0.699). &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; Intraperitoneal perforation rarely occurred during TURBT. In the case of intraperitoneal perforation of size smaller than cystoscopy or without pelvic radiotherapy history, treatment with the Foley alone showed successful improvement and safe oncological results. Therefore, treatment with the urethral catheter alone can be carefully considered when an intraperitoneal perforation smaller than the cystoscope size or without pelvic radiotherapy history occurs. <\/jats:p>","DOI":"10.1159\/000517332","type":"journal-article","created":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T21:00:57Z","timestamp":1626814857000},"page":"138-146","source":"Crossref","is-referenced-by-count":5,"title":["Efficacy of the Treatment of Intraperitoneal Bladder Perforation during Transurethral Resection of Bladder Tumor with the Urethral Catheter Alone: Retrospective Analysis of over 15 Years Using the Clinical Data Warehouse System"],"prefix":"10.1159","volume":"106","author":[{"given":"Junghoon","family":"Lee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jungyo","family":"Suh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang Wook","family":"Jeong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheol","family":"Kwak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyeon Hoe","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ja Hyeon","family":"Ku","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2021,7,20]]},"reference":[{"key":"ref1","unstructured":"Collado A, Ch\u00e9chile GE, Salvador J, Vicente J. Early complications of endoscopic treatment for superficial bladder tumors. <X00_Journal>J Urol<\/X00_Journal>. 2000 Nov;164(5):1529\u201332."},{"key":"ref2","unstructured":"Nieder AM, Meinbach DS, Kim SS, Soloway MS. Transurethral bladder tumor resection: intraoperative and postoperative complications in a residency setting. <X00_Journal>J Urol<\/X00_Journal>. 2005 Dec;174(6):2307\u20139."},{"key":"ref3","unstructured":"Morales A, Eidinger D, Bruce AW. Intracavitary Bacillus Calmette-Guerin in the treatment of superficial bladder tumors. <X00_Journal>J Urol<\/X00_Journal>. 1976 Aug;116(2):180\u20133."},{"key":"ref4","unstructured":"Skolarikos A, Chrisofos M, Ferakis N, Papatsoris A, Dellis A, Deliveliotis C. Does the management of bladder perforation during transurethral resection of superficial bladder tumors predispose to extravesical tumor recurrence? <X00_Journal>J Urol<\/X00_Journal>. 2005 Jun;173(6):1908\u201311."},{"key":"ref5","unstructured":"Gomez RG, Ceballos L, Coburn M, Corriere JN Jr, Dixon CM, Lobel B, et al. Consensus statement on bladder injuries. <X00_Journal>BJU Int<\/X00_Journal>. 2004 Jul;94(1):27\u201332."},{"key":"ref6","unstructured":"Golan S, Baniel J, Lask D, Livne PM, Yossepowitch O. Transurethral resection of bladder tumour complicated by perforation requiring open surgical repair \u2013 clinical characteristics and oncological outcomes. <X00_Journal>BJU Int<\/X00_Journal>. 2011 Apr;107(7):1065\u20138."},{"key":"ref7","unstructured":"Pansadoro A, Franco G, Laurenti C, Pansadoro V. Conservative treatment of intraperitoneal bladder perforation during transurethral resection of bladder tumor. <X00_Journal>Urology<\/X00_Journal>. 2002 Oct;60(4):682\u20134."},{"key":"ref8","unstructured":"Schubart JR, Einbinder JS. Evaluation of a data warehouse in an academic health sciences center. <X00_Journal>Int J Med Inform<\/X00_Journal>. 2000 Dec;60(3):319\u201333."},{"key":"ref9","unstructured":"Karami M, Rahimi A, Shahmirzadi AH. Clinical data warehouse: an effective tool to create intelligence in disease management. <X00_Journal>Health Care Manag<\/X00_Journal>. 2017 Oct\/Dec;36(4):380\u20134."},{"key":"ref10","unstructured":"Summerton DJ, Kitrey ND, Lumen N, Serafetinidis E, Djakovic N; European Association of Urology. EAU guidelines on iatrogenic trauma. <X00_Journal>Eur Urol<\/X00_Journal>. 2012 Oct;62(4):628\u201339."},{"key":"ref11","unstructured":"Chang SS, Boorjian SA, Chou R, Clark PE, Daneshmand S, Konety BR, et al. Diagnosis and treatment of non-muscle invasive bladder cancer: AUA\/SUO guideline. <X00_Journal>J Urol<\/X00_Journal>. 2016 Oct;196(4):1021\u20139."},{"key":"ref12","unstructured":"Flaig TW, Spiess PE, Agarwal N, Bangs R, Boorjian SA, Buyyounouski MK, et al. NCCN guidelines insights: bladder cancer, version 5.2018. <X00_Journal>J Natl Compr Canc Netw<\/X00_Journal>. 2018 Sep;16(9):1041\u201353."},{"key":"ref13","unstructured":"Babjuk M, Burger M, Comp\u00e9rat E, Gontero P, Mostafid AH, Palou J, et al. EAU guidelines on non-muscle-invasive bladder cancer. Presented at the EAU Annual Congress Barcelona; Arnhem, The Netherlands; 2019. Available from:"},{"key":"ref14","unstructured":"El Hayek OR, Coelho RF, Dall\u2019oglio MF, Murta CB, Ribeiro Filho LA, Nunes RL, et al. Evaluation of the incidence of bladder perforation after transurethral bladder tumor resection in a residency setting. <X00_Journal>J Endourol<\/X00_Journal>. 2009 Jul;23(7):1183\u20136."},{"key":"ref15","unstructured":"Escudie JB, Jannot AS, Zapletal E, Cohen S, Malamut G, Burgun A, et al. Reviewing 741 patients records in two hours with FASTVISU. <X00_Journal>AMIA Annu Symp Proc<\/X00_Journal>. 2015;2015:553\u20139."},{"key":"ref16","unstructured":"Mohammed RO, Talab SA. Clinical data warehouse issues and challenges. <X00_Journal>IJUNESST<\/X00_Journal>. 2014;7(5):251\u201362."},{"key":"ref17","unstructured":"Armenakas NA, Pareek G, Fracchia JA. Iatrogenic bladder perforations: longterm followup of 65 patients. <X00_Journal>J Am Coll Surg<\/X00_Journal>. 2004 Jan;198(1):78\u201382."},{"key":"ref18","unstructured":"Wang DS, Bird VG, Leonard VY, Plumb SJ, Konety B, Williams RD, et al. Use of bipolar energy for transurethral resection of bladder tumors: pathologic considerations. <X00_Journal>J Endourol<\/X00_Journal>. 2004 Aug;18(6):578\u201382."},{"key":"ref19","unstructured":"Traxer O, Pasqui F, Gattegno B, Pearle MS. Technique and complications of transurethral surgery for bladder tumours. <X00_Journal>BJU Int<\/X00_Journal>. 2004 Sep;94(4):492\u20136."},{"key":"ref20","unstructured":"Alperin M, Mantia-Smaldone G, Sagan ER. Conservative management of postoperatively diagnosed cystotomy. <X00_Journal>Urology<\/X00_Journal>. 2009 May;73(5):1163\u20139."},{"key":"ref21","unstructured":"Elliott SP, Malaeb BS. Long-term urinary adverse effects of pelvic radiotherapy. <X00_Journal>World J Urol<\/X00_Journal>. 2011 Feb;29(1):35\u201341."},{"key":"ref22","unstructured":"Haddad FS, Wachtel TL. Spontaneous intraperitoneal rupture of the bladder. <X00_Journal>Urol Int<\/X00_Journal>. 1987;42(6):467\u20139."},{"key":"ref23","unstructured":"Novotny V, Froehner M, Ollig J, Koch R, Zastrow S, Wirth MP. Impact of adjuvant intravesical Bacillus Calmette-Gu\u00e9rin treatment on patients with high-grade T1 bladder cancer. <X00_Journal>Urol Int<\/X00_Journal>. 2016;96(2):136\u201341."},{"key":"ref24","unstructured":"Soylu A, Ince AT, Polat H, Yasar N, Ciltas A, Ozkara S, et al. Peritoneal tuberculosis and granulomatous hepatitis secondary to treatment of bladder cancer with Bacillus Calmette-Gu\u00e9rin. <X00_Journal>Ann Clin Microbiol Antimicrob<\/X00_Journal>. 2009 Apr 15;8:12."},{"key":"ref25","unstructured":"Balbay MD, Cimentepe E, Unsal A, Bayrak O, Ko\u00e7 A, Akbulut Z. The actual incidence of bladder perforation following transurethral bladder surgery. <X00_Journal>J Urol<\/X00_Journal>. 2005 Dec;174(6):2260\u20133; discussion 62\u20133."},{"key":"ref26","unstructured":"Comploj E, Dechet CB, Mian M, Trenti E, Palermo S, Lodde M, et al. Perforation during TUR of bladder tumours influences the natural history of superficial bladder cancer. <X00_Journal>World J Urol<\/X00_Journal>. 2014 Oct;32(5):1219\u201323."},{"key":"ref27","unstructured":"Mydlo JH, Weinstein R, Shah S, Solliday M, Macchia RJ. Long-term consequences from bladder perforation and\/or violation in the presence of transitional cell carcinoma: results of a small series and a review of the literature. <X00_Journal>J Urol<\/X00_Journal>. 1999 Apr;161(4):1128\u201332."},{"key":"ref28","unstructured":"Chakravarti A, Day DW, MacDermott S. Extravesical transitional cell carcinoma as a result of implantation after perforation of the bladder. <X00_Journal>BJU Int<\/X00_Journal>. 2000 Jun;85(9):1150\u20131."}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/517332","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/517332","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:03:50Z","timestamp":1745420630000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000517332"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,20]]},"references-count":28,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022,2,7]]},"published-print":{"date-parts":[[2022,2,14]]}},"URL":"https:\/\/doi.org\/10.1159\/000517332","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"type":"print","value":"0042-1138"},{"type":"electronic","value":"1423-0399"}],"subject":[],"published":{"date-parts":[[2021,7,20]]}}}