Transurethral Resection of Bladder Tumor: Procedure Overview

When it comes to treating bladder cancer, Transurethral Resection of Bladder Tumor (TURBT) is a common surgical procedure used to remove abnormal tissues or tumors from the bladder.

This procedure is minimally invasive and is typically performed through the urethra using a special instrument called a resectoscope.

TURBT is often recommended for patients with non-invasive bladder cancer or for those with early-stage tumors. The goal of this procedure is to remove the tumor while preserving as much of the healthy bladder tissue as possible.

By choosing TURBT for bladder cancer treatment, patients can benefit from a quicker recovery time, reduced risk of complications, and the ability to preserve bladder function.

Indications of Transurethral Resection of Bladder Tumor

TURBT is commonly used to diagnose and treat bladder cancer. It is often recommended for patients with superficial bladder tumors or those with early-stage bladder cancer.

• Indications for TURBT include:
• Diagnosis of bladder cancer
• Removal of abnormal tissue or tumors in the bladder
• Treatment of early-stage bladder cancer
• Evaluation of tumor stage and grade

Your healthcare provider will determine if TURBT is the right treatment option for you based on your individual case and medical history.

Steps involved in Transurethral Resection of Bladder Tumor Surgery

The TURBT procedure typically involves several key steps to ensure the successful removal of the bladder tumor:

• Anesthesia: You will be given either general anesthesia or spinal anesthesia to ensure you are comfortable and pain-free during the procedure.
• Insertion of the resectoscope: A thin tube with a camera and surgical instruments will be inserted through the urethra and into the bladder.
• Resection of the tumor: The surgeon will use the resectoscope to carefully remove the tumor or abnormal tissue from the bladder.
• Pathology examination: The removed tissue will be sent to a laboratory for analysis to determine the type and stage of the tumor.
• Bladder irrigation: After the tumor is removed, the bladder may be irrigated with a saline solution to remove any remaining tissue or blood clots.

The entire TURBT procedure typically takes about one to two hours to complete, depending on the size and location of the tumor.  

Who Will Perform Transurethral Resection of Bladder Tumor?

• The procedure is typically performed by a urologist, a surgeon specializing in the urinary tract and male reproductive organs.
• Urologists are trained to perform endoscopic procedures, including transurethral resection of bladder tumor (TURBT).
• The surgery is usually conducted in a hospital or specialized surgical center equipped with the necessary medical technology.

Preparing for Transurethral Resection of Bladder Tumor

• Patients will undergo a thorough preoperative assessment, including medical history, physical examination, and imaging tests like cystoscopy or CT scans.
• Blood tests and urine tests are conducted to ensure the patient is fit for surgery and to identify any underlying conditions.
• Patients may be advised to stop certain medications, such as blood thinners, to reduce the risk of bleeding during the operation.
• Fasting is typically required from the night before the procedure to avoid complications from anesthesia.
• Patients should arrange for transportation and post-operative care, as they will be unable to drive immediately after surgery.

after Transurethral Resection of Bladder Tumor

• Postoperative recovery involves monitoring in a recovery room until the effects of anesthesia wear off.
• Pain management is crucial, and patients may receive medications to alleviate discomfort and prevent infection.
• A catheter may be inserted into the bladder to drain urine and prevent blood clots from causing blockages.
• Patients are encouraged to drink plenty of fluids to flush out the bladder and aid in recovery.

Before and After Transurethral Resection of Bladder Tumor

• Before surgery, patients should maintain a healthy diet and follow any specific instructions from their healthcare provider to optimize their condition for surgery.
• Smoking cessation is recommended, as smoking can impair healing and increase the risk of complications.
• After the procedure, lifestyle modifications such as avoiding heavy lifting and strenuous activities are advised to promote recovery.
• Regular surveillance, including cystoscopic examinations, is essential to monitor for any recurrence of bladder tumors.
• Patients should report any unusual symptoms, such as difficulty urinating, persistent pain, or signs of infection, to their healthcare provider promptly.

By adhering to these guidelines, patients can enhance their outcomes and ensure a smooth recovery process following a transurethral resection of a bladder tumor.