What is done in the procedure of transurethral resection of bladder tumor ?
Transurethral Resection of Bladder Tumor (TURBT) is a surgical procedure used to diagnose, stage, and treat bladder cancer. Here's a general overview of the procedure:
**1. Preparation:**
- Before the procedure, you may be asked to undergo certain tests, such as blood tests, imaging studies, or cystoscopy, to evaluate the extent and location of the tumor.
- You will likely need to fast for a few hours before the surgery.
**2. Anesthesia:**
- TURBT is typically performed under general or spinal anesthesia, which means you will be either unconscious or numb from the waist down during the procedure.
**3. Insertion of Cystoscope:**
- A cystoscope, a thin tube with a light and a camera on the end, is inserted through the urethra and into the bladder.
- The cystoscope allows the surgeon to visualize the inside of the bladder and identify any tumors or abnormal growths.
**4. Resection of Tumor:**
- Small tumors can be removed during the diagnostic cystoscopy. Larger tumors may require a separate TURBT procedure.
- Using a specialized tool called a resectoscope, which is passed through the cystoscope, the surgeon removes or shaves off the tumor from the bladder wall.
- Electrical current may be used to cut through the tumor and to control bleeding.
**5. Biopsy:**
- Tissue samples (biopsies) are taken from the tumor and surrounding areas for pathological examination.
- Biopsy results help determine the type and grade of the bladder cancer.
**6. Fulguration:**
- In some cases, after tumor resection, an additional step called fulguration may be performed. This involves using electrical current to destroy any remaining cancer cells and reduce the risk of recurrence.
**7. Catheter Placement:**
- A urinary catheter may be placed through the urethra into the bladder to drain urine for a short period after the procedure.
**8. Recovery:**
- After the surgery, you'll be taken to a recovery area where your vital signs will be monitored.
- Once you recover from anesthesia, you may be discharged on the same day or spend a night in the hospital, depending on the complexity of the procedure and your overall health.
**Post-Procedure Care:**
- You may experience some discomfort, blood in the urine, or other urinary symptoms initially.
- It's important to follow postoperative instructions provided by your healthcare team, which may include information about medications, activity restrictions, and follow-up appointments.
Remember that the details of the procedure may vary based on the specifics of each case and the surgeon's preferences. It's crucial to discuss the procedure, potential risks, and expected outcomes with your urologist before undergoing TURBT.