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A surgical perspective on minimizing NMIBC recurrence. Dr. Teoh addresses the limitations of conventional TURBT and discusses the integration of 4K imaging and bipolar plasma energy platforms to facilitate en-bloc resection (ERBT). The lecture details step-by-step techniques for mucosal incision and blunt dissection down to the detrusor muscle, supported by recent randomized controlled trials and the progress of the global ERBT registry.