Transurethral Resection of the Bladder Tumor Success Rates of Surgeons and Possible Causes of Differences Between Locals and Refugees

Objective: In our study, we examined the success rates of our surgeons and the criteria that define the success, and tried to reveal the possible causes of the differences in the success rates of transurethral resection of the bladder tumor (TUR-BT) in locals and refugees. Materials and Methods: Between 2014 and 2018, 246 patients who underwent TUR-BT for the first time due to bladder tumor were evaluated retrospectively. Patients with urothelial carcinoma were included in the study. The patients were classified as muscle-invasive or non-muscle-invasive bladder cancer according to the stage, and as detrusor muscle positive and negative according to the pathology results. The patients were divided into two groups as locals and refugees. The surgeons were coded with numbers. Results: The number of patients with positive detrusor muscle was 85 (52.1%) in locals and 55 (66%) in refugees. When all the cases were taken into consideration, it was found that the surgeons had significantly higher rates of detrusor muscle sampling in refugees compared to locals (p=0.006). Conclusion: Our study suggests that the quality of the bladder tumor resection can be measured by the success or failure in sampling of the detrusor muscle in the first TUR-BT where the tumor is completely resected. The success rates of surgeons were higher in refugees. Despite the fact that they are the same group of patients, surgical treatment of the refugees without surgical stress seems to be the possible reason for being more successful.