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Transurethral Bladder

The surgical procedure to remove cancerous tissue from the bladder and to diagnose bladder cancer is Transurethal resection of the bladder. It is also called transurethral resection for bladder tumor. Spinal or General anesthesia is often used for it. A cystoscope is passed into the bladder through the urethra during TUR surgery. To burn away any remaining cancer cells and to remove the cancer for biopsy resectoscope tool is used. Repeat TURs are needed sometimes because after this surgery bladder cancer can come back.

Overview of TURBT

The first line treatment to diagnose, stage and treat visible tumors is endoscopic treatment with transurethral resection of the bladder tumour (TURBT). Office-based fulguration of small tumors allows control of low risk lesions without incurring the inefficiencies and cost of the operating room in select patients. For carcinoma in situ (CIS) TURBT is not effective because the disease is often so diffuse and difficult to visualize that surgical removal is not possible. To establish the diagnosis the role of cystoscopy is important so that therapy can be instituted. The fulgurating of obvious areas of CIS can be done but the benefits of this are not proven yet. The papillary tumor is removed before initiation of treatment of the CIS when a combination of papillary tumor and CIS is present.

When should I seek advice from my physician

If a patient is having 101 degree or greater fever or they begin passing clots which are larger than 1 inch in diameter then a patient should contact physician at Scottsdale, Arizona. Most people will have cherry colored urine. How long a time has passed since bleeding began determines the color of urine. Passage of large clots is associated with significant bleeding requiring further evaluation.

What To Expect After Surgery

To prevent blockage of the urethra and help stop bleeding a catheter may be placed in the urethra after this surgery. The catheter is removed after bleeding has stopped. You need to stay in hospital 1 to 4 days after surgery. After the surgery you feel the need to urinate frequently for a while. In your urine you may have blood for up to 2 to 3 weeks after surgery. After TUR you may have to avoid strenuous activity for about 3 weeks.

Why It Is Done

To diagnose, stage and treat bladder cancer TUR can be used.

1. Diagnosis

To examine inside of the bladder to see that in the bladder there are cancer cells TUR is used.

2. Staging

In bladder wall whether cancers are growing TUR is used to determine that.

3. Treatment

During TUR inside the bladder one or more small tumors can be removed.

How Well It Works

The most common and effective treatment for early stage bladder cancer is TUR. If all the cancer is removed and biopsies show that no cancer cells remain then it is also effective for more advanced cancer.

Risks

1. Infection in Bladder.

 

2. Bleeding.

 

3. Perforation of the bladder wall.

 

4. By bloods clots in the bladder blockage of the urethra.

 

5. Blood in the urine.

 

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