Comparative Efficacy of Transurethral Laser Ablation Versus Conventional Methods in the Management of Recurrent Non-Muscle-Invasive Bladder Tumours

TULA performed under local anaesthesia demonstrates possible comparable efficacy to TURBT in preventing early tumour recurrence, underscoring its potential as a reasonable alternative for managing small, recurrent NMIBC, particularly for patients at higher risk of complications from general anaesthesia. Successful establishment of an outpatient TULA service, guided by clear operational and safety protocols, enhances efficiency. Larger prospective multicentre trials with longer follow-up are warranted to fully validate these findings.