Abstract: The study focused on evaluating the effectiveness and safety of thulium laser 
salvage transurethral laser surgery in patients with advanced bladder carcinoma. The 
application of this technique is indicated in cases of serious complications, such as 
paraneoplastic syndrome, severe thrombocytopenia and hemotamponade. The study included 
clinical case analysis and literature review, finding that the majority of patients achieved 
stage-acceptable tumor resection, as well as an uneventful postoperative period, with minimal 
complications. The technique offers significant advantages in terms of hemostasis and 
resection, representing an alternative for patients for whom traditional surgery is not 
suitable.
Key words: thulium laser, advanced bladder cancer, salvage surgery, hemostasis, 
paraneoplastic syndrome

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