Is TURBT a noninvasive Surgery?


When it comes to treating a terminal illnesses like cancer, one would  choose the best doctors and hospitals and the most promising treatments. Even after decades of research and study, a reasonable cure to cancer hasn't been found and we all dread this  killer disease. Although people do come out of the trauma of cancer and recover fully and live a long life after that, there are some very complicated cancers of the internal organs which are very difficult to cure and if they are cured, the treatments like chemotherapy and radiation which are used to kill the cancer cells,  are so strong that some side effects and damage to the body is imminent which results in a weaker self. Bladder cancer is one such not so common but dreaded disease and TURBT (Transurethral resection of bladder tumor) is the only prevalent and highly effective treatment available currently to cure it.  


What is TURBT (Transurethral resection of bladder tumor)?

When your bladder gets unwanted growth of cells lined up on its wall, you are said to be having bladder cancer. Removal of these growth is very important before it further invades the bladder. This type of cancer which shows growth on the wall of bladder is called superficial or non-invasive bladder cancer. At such stage, TURBT treatment is the only proper answer as there are no other modern medicine alternatives available at this point. TURBT is a treatment used for removal of these unwanted cells on the wall of the bladder.  The surgery involves a probe being passed through a Cytoscope and the cancer cells are removed. This  surgery is done through the urinary passage and there is no external cut made.  


TURBT is an initial way to treat bladder cancer and is also used to do further pathological testing to get an idea on the stage of the cancer You do not have access to view this node. The treatment is used as to determine the course of the treatment to cure the illness. It is followed by treatment of bladder to remove remaining cancer cells by mitomycin C or Bacille Calmette–Guérin (BCG). Although the tissues around the bladder showing cancer growth are removed, they are not fully peeled off. But is some cases  when there are chances of these cells entering inside the muscle of the bladder the tissues have to be removed completely.


Before the patient is prepared for the TURBT treatment he is asked to take certain precautions and steps. The patient is asked to quit smoking and drinking alcohol completely. Before the start of the treatment, anesthesia is given. Mostly the anesthetists advise the patient to go on fasting of 6 to 8 hours before the treatment. Blood clotting in legs  is observed during and after this treatment and hence many doctors either give anti clotting injection heparin before the start or the patient is advised to wear stockings. Generally, this treatment is not risky but certain side effects like urine in blood or pain or uneasiness in urethra or bladder is experienced which goes away in couple of days.


What are the general complications during and after TURBT?

Soon after the You do not have access to view this node, patients are advised to take medication and check up for several weeks at regular intervals. In case of pain, general pain killers are recommended. Certain precautions are a must after TURBT such as

  • getting  good rest and 
  • not indulge in heavy exercises or lift heavy things. 
  • It's also advisable not to drive for couple of days.
  • In case of high fever, consistent pain for more than 2 days, burning sensation or smell while passing of urine or blood clots in urine are seen you should immediately consult a doctor.

Although complications are rare, sometimes urinary bladder or tract infection, difficulty in passing urine or damage to bladder wall, bladder or urethra can pose problems and cause complications. Many times TURBT is repeated if the cancer cells are found growing again in the urinary bladder.

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Having had the procedure, this is a very good article, I cannot emphasize enough the importance of getting rest after the procedure. Because there is no external wound you feel fit but there is still an internal wound which needs to heal.

Text and video were quite informative. I have e better understanding of the procedure I will have.