FRCS Urol Practice Questions - Intercollegiate Specialty Fellowship Examination In Urology (FRCS Urol) Exam

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A 67-year-old man undergoes TURBT for a 2.5 cm solitary papillary bladder tumour. Histology shows high-grade pT1 urothelial carcinoma with no muscle in the specimen. What is the most appropriate next step?

Immediate radical cystectomy Surveillance cystoscopy at 3 months Start a 6-week induction course of intravesical BCG immediately Re-resection (re-TURBT) within 2-6 weeks

Correct Answer:

Re-resection (re-TURBT) within 2-6 weeks

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