Results From the ERAS for Ambulatory TURBT: Enhancing Bladder Cancer Care (EMBRACE) Randomized Controlled Trial

PURPOSE: Transurethral resection of a bladder tumor (TURBT) contributes to morbidity of patients with bladder cancer. This trial evaluates the impact of an enhanced recovery after surgery (ERAS) protocol on quality of recovery from ambulatory TURBT. MATERIALS AND METHODS: In a prospective, single institution randomized controlled trial, patients undergoing ambulatory TURBT were randomized to ERAS (including preoperative patient education, intraoperative and postoperative anesthesia/surgery interventions) or usual care, January 2024 to May 2024. The primary end point was the mean difference in Quality of Recovery-15 (QoR-15) score (0-150, higher is superior recovery) between groups over day of surgery and postoperative day 1 (POD1). Secondary end points included urinary tract infection-symptom impairment questionnaire (UTI-SIQ-8), pain scores, and incontinence rates on POD1. RESULTS: = .02) vs controls. CONCLUSIONS: Utilization of ERAS for ambulatory TURBT significantly improves quality of recovery for patients with bladder cancer undergoing this common procedure.