™ Resection should proceed with partially distended bladder.

™ Take care to follow the curve of the bladder when resecting to avoid perforation.

™ Treat easily accessible and small tumours first.

™ Reserve tumours on the bladder dome and anterior wall for the end.

™ Resection on bladder dome and anterior wall can be facilitated by suprapubic pressure with the second hand.

™ After completed resection of one lesion, ensure perfect coagulation before starting with resection of the next lesion.

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