Transurethral Resection of Bladder Tumor (TURBT) is a surgical procedure to diagnose bladder cancer and determine whether the cancer has invaded the urinary wall. In early stages cancer, TURBT is also used as a treatment.
Transurethral Resection of Bladder Tumor (TURBT) is a surgical procedure to diagnose bladder cancer and determine whether the cancer has invaded the urinary wall.
TURBT is also known as Partial Cystectomy, wherein only a part of the bladder is removed. It is performed for early stage bladder cancer when it is only in one region of the bladder, and is not in the area where urine enters or leaves the bladder.
The doctor will recommend the procedure to:
Diagnose bladder cancer and determine the severity of cancer
Treat early stage bladder cancer that has not invaded the bladder wall
Repair congenital defects that affect urinary system, in rare cases
The doctor will instruct the following:
CT Scan, biopsy of bladder, urine analysis, cystoscopy and other tests to determine the exact location and spread of the cancer
Stop blood thinning medications, at least 10 days before the surgery
Fasting for 8 to 10 hours prior to the procedure
The procedure is performed under general anesthesia, and can take upto 3 to 4 hours.
For open surgery, the surgeon will make a long incision in the lower abdomen area to access the bladder and lymph nodes.
For laparoscopic surgery, several small incisions are made in the lower belly. A laparoscope containing camera is inserted from one of the cuts, and surgical tools are inserted from other incisions.
In partial cystectomy, the affected part of the bladder is removed and the incisions are sutured.
The patient has to stay in hospital for 7 to 10 days after the surgery. In some cases, chemotherapy or radiation therapy is prescribed.
Generally, there is some discomfort and pain in the abdomen. Medications will be prescribed to minimize it. Complete recovery generally takes 6 to 8 weeks.
The doctor will recommend to
Avoid any strenuous activity for 6 to 8 weeks.
Tests to check recurrence of cancer.
Bladder exams after every 3 to 4 months.
Strictly stop smoking
Risk and Complications
Transurethral Resection of Bladder Tumor (TURBT) is a complex procedure, and complications may include:
Leakage in urine or obstruction in the bowel
Imbalance in electrolytes causing Acidosis
In long term, renal failure
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