Guidelines

Non-muscle-invasive Bladder Cancer

Additional data has been included in sections:

  • 4.4 4.4 - Histological grading of non-muscle-invasive bladder urothelial carcinomas
  • 5.11.1 - Photodynamic diagnosis (fluorescence cystoscopy);
  • 5.12 - Second resection;
  • 7.2.1.3.2 - Device-assisted intravesical chemotherapy.

 

New recommendations have been added to:

  • Section 5.9 - Summary of evidence and guidelines for the primary assessment of non-muscle-invasive bladder cancer
Recommendations Strength rating
In men, use flexible cystoscope, if available.Strong
Describe all macroscopic features of the tumour (site, size, number and appearance) and mucosal abnormalities during cystoscopy. Use a bladder diagram (Figure 5.1).

Strong

 

Use the Paris system for cytology reporting.Strong

 

  • Section 5.14 - Summary of evidence and guidelines for transurethral resection of the bladder, biopsies and pathology report
Recommendations Strength rating
Performance of individual steps
Use methods to improve tumour visualization (FC, NBI) during TURB, if available.Weak