Introduction & Objectives: Bladder cancer is the tenth most commonly diagnosed cancer in both genders. Bladder cancer is primarily a disease of older patients with age-incidence rates rising gradually around 50 years old. Malignant bladder tumours are rare among younger patients, with many benign conditions being confused with bladder tumours during cystoscopies in these patients.
Materials & Methods: Retrospective evaluation of all patients with 50 years old or younger who received transurethral resection of bladder (TUR-B) in our institution, from January 2011 until March 2022. Patients’ characteristics and pathological results were evaluated.
Results: During this period of time, over 2500 TUR-B were done in our institution. 64 patients had 50 years old or less at the time of surgery. The majority of patients were male (75%) and were in the fifth decade of life. 59,4% of patients looked for medical advise because of haematuria but some of them had less frequent manifestations of bladder tumours. Less than a quarter of the patients had a benign result after pathological evaluation. 18,8% had pT1 high grade tumours and 12,6% muscle-invasive tumours. There is no statistical significance between tobacco use and malignant pathology (p=0,60).
Conclusions: Although bladder tumours are much more frequent after 50 years old, we should be aware of typical complaints in younger patients and investigate them. A great part of our sample were smokers but we couldn’t demonstrate its effect on malignancy or benignity of their disease. A non-despicable sample had muscle-invasive and aggressive disease – 5 of 8 patients are already death and another one is already metastasized. Early recognition of the symptoms is the key to an early diagnosis and the better outcome possible for the patients.

Transurethral resection of bladder in patients 50 years old or younger: a tertiary single center analysis from 2011 to 2022