G3T1 bladder cancer: Is early re-resection necessary?

An early re-resection may not be necessary for all patients with G3 T1 bladder cancer. Under-staging of these tumours is unusual in our practise, and selection for second-look cystoscopy could be based on review of operative and histological findings at a multidisciplinary clinico-pathology meeting, with a suggestion that T1 sub-classification may have a role in determining the optimum management of this group of patients.