Safety and Efficacy of Bipolar Transurethral Resection of Bladder Tumor in Pregnancy: A Case Series and Review of Literature.

Introduction: Bladder malignancy is uncommon during pregnancy, and there is paucity in the literature about the optimal management. Endoscopic procedures and use of energy sources within bladder always pose a significant risk to pregnancy. Bipolar transurethral resection of bladder tumor allows precise resection, minimizes collateral damage and allows complete resection of tumor. In this retrospective study, we analyze the safety and efficacy of bipolar transurethral resection of bladder tumor in the management of bladder tumor during pregnancy. Material and methods: This is a retrospective study over a period of 6 years carried out at a tertiary referral center. Pregnancy patients with bladder tumors underwent transurethral bipolar resection of tumor and any complication or adverse event during the procedure were recorded. Disease and obstetric outcome was analyzed to access the safety and effectiveness of this procedure during pregnancy. Results: Seven pregnant patients were with an average age of 38.5 ± 4.2 years and average gestational age of 21.5 ± 7.5 weeks underwent bipolar TURBT in last 6 years. Smoking as a risk factor was identified in one patient, and one patient had personal history of bladder tumor. Majority of patients presented with gross hematuria (57.14%). The mean resection time was 19.5 ± 8.9 min, and the average hospital stay was 2.5 ± 0.5 days. There was no major complication recorded in intraoperative or postoperative period. Conclusion: Bipolar TURBT is safe and effective in the management of bladder tumor during pregnancy.