TURBT · Decision · D26

When to stop a big resection

Allow about two minutes for two rounds. This scenario is teaching content; the score supports revision and does not assess clinical competence.

TURBTDecision · Advanced

The scenario

  • A 5 cm papillary tumour on the posterior wall.
  • Forty-five minutes of resection.
  • The view is fair.
What you see
  • About a third of the tumour remains.
  • The base already resected is bleeding moderately.
  • The irrigation deficit is 1.5 litres.
Resectoscope view: a large posterior wall tumour, part resected
Resectoscope view: a large posterior wall tumour, part resected
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Teaching only · not for diagnosis or treatment decisions