Transurethral resection of a bladder tumor is the removal (resection) of a cancerous growth (tumor) on the inside wall of the bladder. The bladder is the organ that holds urine. The tumor is removed through the urethra using a thin telescope with a light, a tiny camera, and an electric cutting edge (resectoscope).
Tell a health care provider about:
- Any allergies you have.
- All medicines you are taking, including vitamins, herbs, eye drops, creams, and over-the-counter medicines.
- Any problems you or family members have had with anesthetic medicines.
- Any blood disorders you have.
- Any surgeries you have had.
- Any medical conditions you have.
- Any recent urinary tract infections you have had.
- Whether you are pregnant or may be pregnant.
- Allergic reactions to medicines.
- Damage to other structures or organs, such as:
- The urethra.
- The tubes that drain urine from the kidneys into the bladder (ureters).
- Pain and burning during urination.
- Difficulty urinating due to partial blockage of the urethra.
- Inability to urinate (urinary retention).
- Follow instructions from your health care provider about eating and drinking restrictions.
- Ask your health care provider about:
- Changing or stopping your regular medicines. This is especially important if you are taking diabetes medicines or blood thinners.
- Taking medicines such as aspirin and ibuprofen. These medicines can thin your blood. Do not take these medicines before your procedure unless directed by your health care provider.
- You may have a physical exam.
- You may have tests, including:
- Blood tests.
- Urine tests.
- Electrocardiogram (ECG).
- You may be given antibiotic medicine to help prevent infection.
- Ask your health care provider how your surgical site will be marked or identified.
- Plan to have someone take you home after the procedure.
What Happens During The Procedure?
- An IV tube will be inserted into one of your veins.
- You will be given one or more of the following:
- A medicine to help you relax (sedative).
- A medicine to make you fall asleep (general anesthetic).
- A medicine that is injected into your spine to numb the area below and slightly above the injection site (spinal anesthetic).
- Your legs will be placed in foot rests (stirrups) so that your legs are apart and your knees are bent.
- The resectoscope will be passed through your urethra and into your bladder.
- The part of your bladder that is affected by the tumor will be resected using the cutting edge of the resectoscope.
- The resectoscope will be removed.
- A thin, flexible tube (catheter) will be passed through your urethra and into your bladder. The catheter will drain urine into a bag outside of your body.
- Fluid may be passed through the catheter to keep the catheter open.
Post Procedure Care
- Your blood pressure, heart rate, breathing rate, and blood oxygen level will be monitored often until the medicines you were given have worn off.
- You may continue to receive fluids and medicines through an IV tube.
- You will have some pain. Pain medicine will be available to help you.
- You will have a catheter draining your urine.
- You will have blood in your urine. Your catheter may be kept in until your urine is clear.
- Your urinary drainage will be monitored. If necessary, your bladder may be rinsed out (irrigated) by passing fluid through your catheter.
- You will be encouraged to walk around as soon as possible.
- You may have to wear compression stockings. These stockings help to prevent blood clots and reduce swelling in your legs.
- Do not drive for 24 hours if you received a sedative.
This information is not intended to replace advice given to you by your health care provider.