The prone position for transurethral resection of anterior bladder-wall tumours

Transurethral resection of tumours of the anterior bladder wall may be technically difficult. The resectoscope must be held with an awkward upside-down grip and the surgeon assume an uncomfortable position, particularly as the bladder fills and causes the tumour to drift away from the surgeon. There is a risk of intraperitoneal perforation as the surgeon cuts more deeply to resect the tumour. When the patient is in the prone position the tumour is more accessible. This allows it to be resected more easily, more thoroughly and more comfortably. The technique may be used in men as well as in women.