(UroToday.com) The 2021 European Association of Urology (EAU) annual meeting had a Controversies in Bladder Cancer 2021: Rapid-fire debates session. The session was introduced by Dr. Ashish Kamat with chairs of the session, Professors Joan Palou and Arnulf Stenzl. There were five rapid-fire debates with case-based discussions, multiple presenters have the opportunity to discuss nuances of common dilemmas facing urologic oncology patients and providers and to use these evidence-based debates to provide clear, rational guidance on the timely management of difficult situations in bladder cancer.
During the first rapid-fire debate, the topic is focused on the management of small local recurrence low-grade bladder tumors with negative cytology. Dr. Morgan Roupret argues for formal TURBT with intravesical chemotherapy while Dr. Wassim Kassouf argues for active surveillance and fulguration. Below I highlight their main points.