This document discusses en bloc resection of bladder tumors. It begins by noting that bladder cancer has a high incidence rate in Egypt and more epidemiological studies are needed. It then states that bladder cancer is the 3rd most common cause of death in Egypt and that Egypt had the highest mortality rate from bladder cancer in 2020. The goals of bladder tumor resection are then listed as: complete local resection, proper local staging, reducing the risk of tumor reimplantation, and performing the resection without complications.

1. Why & how
to adopt
Enbloc resection
of bladder tumors
Dr Mohamed Omar
A.Prof of urology Menoufia Univ.
A.Sec. of endourology section EUA
A. Associate Scientific Member: Endourology Academy

2. ‫االقصي‬ ‫المسجد‬ •
َ‫غ‬‫فر‬ ‫ا‬َّ‫م‬‫ل‬
َ‫د‬‫داو‬ ُ‫بن‬ ُ‫مان‬ْ‫ي‬َ‫ل‬ُ‫س‬
‫الم‬ ِ‫ت‬‫بي‬ ِ‫بناء‬ ‫من‬
‫ا‬ً‫ث‬‫ثال‬ َ َّ
‫َّللا‬ َ‫ل‬‫سأ‬ ِ
‫ِس‬‫د‬‫ق‬
•
ُ‫ه‬َ‫م‬ْ‫ك‬ُ‫ح‬ ُ‫يصادف‬ ‫ا‬ً‫م‬ْ‫ك‬ُ‫ح‬
•
ِ‫ه‬ِ‫د‬‫بع‬ ‫من‬ ٍ‫د‬‫ألح‬ ‫ينبغي‬ ‫ال‬ ‫ًا‬‫ك‬‫ومل‬
•
َ‫ة‬‫ال‬َّ‫ص‬‫ال‬ َّ
‫إال‬ ُ‫د‬‫يري‬ ‫ال‬ ٌ‫د‬‫أح‬ َ‫د‬‫المسج‬ ‫هذا‬ َ‫ي‬‫يأت‬ َّ
‫وأال‬
‫من‬ َ‫ج‬‫خر‬ َّ
‫إال‬ ِ‫ه‬‫في‬
ُ‫ه‬ُّ‫م‬‫أ‬ ُ‫ه‬ْ‫ت‬‫ولد‬ ِ‫كيوم‬ ِ‫ه‬ِ‫ب‬‫ذنو‬
•
َّ‫م‬‫أ‬ َ‫م‬َّ‫ل‬‫وس‬ ِ‫ه‬‫علي‬ ُ َّ
‫َّللا‬ ‫ى‬َّ‫ل‬‫ص‬ ُّ‫ي‬‫ب‬َّ‫ن‬‫ال‬ َ‫ل‬‫فقا‬
‫وأرجو‬ ‫ما‬ُ‫ه‬َ‫ي‬‫ْط‬‫ع‬ُ‫أ‬ ‫فقد‬ ِ‫اثنتان‬ ‫ا‬
َ‫الثة‬َّ‫ث‬‫ال‬ َ‫ي‬‫ْط‬‫ع‬ُ‫أ‬ ‫قد‬ َ‫كون‬َ‫ي‬ ‫أن‬
•
‫الراوي‬
:
‫عمرو‬ ‫بن‬ ‫عبدهللا‬
|
‫المحدث‬
:
‫األلباني‬
|
‫المصدر‬
:
‫ماجه‬ ‫ابن‬ ‫صحيح‬
|
‫الرقم‬ ‫أو‬ ‫الصفحة‬
:
1164
|
‫المحدث‬ ‫حكم‬ ‫خالصة‬
:
‫صحيح‬
|
‫التخريج‬
:
‫أخرجه‬
‫النسائي‬
(
693
)
‫ماجه‬ ‫وابن‬ ،
(
1408
)
‫وأحمد‬ ،‫له‬ ‫واللفظ‬
(
6644
.)
•
‫ه‬َ‫م‬ْ‫ك‬ُ‫ح‬ ُ‫ِف‬‫د‬‫صا‬ُ‫ي‬ ‫ا‬ً‫م‬ْ‫ك‬ُ‫ح‬
"
‫أي‬ ،
:
ُ‫د‬‫را‬ُ‫م‬‫وال‬ ،ِ‫هللا‬ َ‫م‬ْ‫ك‬ُ‫ح‬ ُ‫ق‬ِ‫ف‬‫يوا‬
:
ِ‫د‬‫االجتها‬ ‫في‬ ِ‫ب‬‫َّوا‬‫ص‬‫لل‬ ُ‫ق‬‫َّوفي‬‫ت‬‫ال‬
•
‫ِه‬‫د‬‫بع‬ ‫ن‬ِ‫م‬ ٍ‫د‬‫ألح‬ ‫َغي‬‫ب‬ْ‫ن‬‫ي‬ ‫ال‬ ‫ًا‬‫ك‬ْ‫ل‬‫وم‬
"
‫أي‬ ،
:
‫َه‬‫د‬‫بع‬ ‫َر‬‫ش‬‫الب‬ ‫ن‬ِ‫م‬ ‫لغيره‬ ‫ه‬ُ‫ل‬‫مث‬ ُ‫يكون‬ ‫ال‬ ‫ًا‬‫ك‬ْ‫ل‬‫م‬ ‫ب‬َ‫ل‬‫ط‬

3. Cancer Bladder awareness
• In Egypt , we have one of the highest world
incidence rate of 27 by 100,000 people
• We need more epidemiological studies to
survey and justify the hazard group and the
risk factors
• Our society should perform a bladder cancer
awareness month for the Egyptian family
Khaled H. Systematic management of bladder cancer in Egypt: revisited. J Egypt Natl
Canc Inst. 2005;17:127–131.

4. According to CDC
• Cancer is the 3rd most
common cause of death in
Egypt

5. Let me shock you !!
• Egypt had the highest overall mortality rate
from bladder cancer in 2020, followed by
Tunisia. >7900 deaths annually

6. Bladder Tumor Resection
DIAGNOSTIC
• Gold standard for
diagnosis
• Gold standard for
Staging
• Gold standard for
Follow-up
THERAPUTIC

7. Goals of
bladder tumor
resection
1. Complete local resection
2. Proper local staging
3. Reduce risk of tumor
reimplantation
4. Without a complication