Certified Tumor Registrar (CTR) Practice Exam

What is the surgical approach for a transurethral resection (TUR) of a bladder tumor?

1. Open surgery

2. Laparoscopic

3. Endoscopic

4. Robotic-assisted

The correct answer is: Endoscopic

The surgical approach for a transurethral resection (TUR) of a bladder tumor is indeed endoscopic. This technique involves the insertion of a scope through the urethra to reach the bladder without making any external incisions. During the procedure, the surgeon uses specialized tools to resect or remove the tumor from the bladder wall. Endoscopic resection is favored for bladder tumors primarily because it is minimally invasive, which leads to reduced recovery times and less postoperative pain for patients compared to more invasive approaches. Unlike open surgery, which requires a larger incision, or laparoscopic methods that involve more invasive instrumentation, the endoscopic approach allows for a quicker procedure and often a shorter hospital stay. Additionally, while robotic-assisted techniques could be utilized for other types of procedures or might be integrated into bladder surgery, standard TUR procedures are conventionally performed with an endoscopic approach using tools designed specifically for that purpose.