CONCLUSIONS
Residual tumour is common after index TUR-B. The re-TUR is definitely
required to detect this residual tumour and to reveal the cancer
upstaging. It should be noted that re-TUR is critically important in
high-risk NMIBC, presence of hydronephrosis, CIS, LVI, variant
pathology, size (3 cm>) and multiple number of tumour.
However shared decision-making would be useful in determining the re-TUR
indication for selected patients. The effect of re-TUR on recurrence and
progression in NMIBC is still a dilemma.