Symptomatic and functional recovery after transurethral resection of bladder tumor: Data from ecological momentary symptom assessment

Marshall Strother, Ryan Barlotta, Robert Uzzo, Evan Bloom, Seyed B Jazayeri, Alberto C Bigalli, Jared Schober, Jennifer Lee, Adrien Bernstein, Kevin Ginsburg, Elizabeth Handorf, David YT Chen, Andres Correa, Richard Greenberg, Marc Smaldone, Rosalia Viterbo, Alexander Kutikov

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVES: To quantitatively describe the nature, severity, and duration of symptoms and functional impairment during recovery from transurethral resection of bladder tumors.

MATERIALS AND METHODS: All patients scheduled for transurethral resection were approached for enrollment in a text-message based ecological momentary symptom assessment platform. Nine patients reported outcomes were measured 7 days before surgery and on postoperative days 1, 2, 3, 5, 7, 10, and 14 using a 5-point Likert scale. Self-reported degree of hematuria was collected using a visual scale. Clinical data was collected via retrospective chart review.

RESULTS: A total of 159 patients were analyzed. Postoperative symptoms were overall mild, with the largest differences from baseline to postoperative day 1 seen in dysuria (median 0/5 vs. 3/5) and ability to work (median 5/5 vs. 4/5). Recovery was generally rapid, with 76% of patients reporting ≥4/5 agreement with the statement "I feel recovered from surgery" by postoperative day 2, although 15% of patients reported persistently lower levels of agreement on postoperative day 10 or 14. Patients undergoing larger resections (≥2cm) did take longer to return to baseline in multiple symptom domains, but the difference of medians vs. those undergoing smaller resections was less than 1 day across all domains. Multivariable analysis suggested that receiving perioperative intravesical chemotherapy was associated with longer time to recovery. 84% of patients reported clear yellow urine by postoperative day 3.

CONCLUSION: In this population, hematuria and negative effects on quality of life resulting from transurethral resection of bladder tumors were generally mild and short-lived, although a small number of patients experienced longer recoveries.

Original languageEnglish
Pages (from-to)117.e1-117.e10
JournalUrologic oncology
Volume42
Issue number4
Early online dateFeb 17 2024
DOIs
StatePublished - Apr 2024

Keywords

  • Bladder cancer
  • Ecological momentary assessment
  • Hematuria
  • Lower urinary tract symptoms
  • Postoperative care
  • Transurethral resection
  • Transurethral Resection of Bladder
  • Humans
  • Symptom Assessment
  • Male
  • Transurethral Resection of Prostate/methods
  • Urinary Bladder Neoplasms/pathology
  • Quality of Life
  • Retrospective Studies

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