En Bloc Resection according to Mauermayer 1981

™ Cutting power is reduced to 60 W

™ A circular coagulation mark at a distance of 5 mm from the tumour pedicle is set around the lesion.

™ At this mark, an incision in the bladder wall is made to arrive at the deep muscular layer.

™ By stepwise cutting, the bladder wall cuff is isolated.

™ Completion of the resection.

™ The tumour is retrieved using a syringe.

™ Careful coagulation of the tumour ground with a roller ball electrode.

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