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Traitement de l'hyperplasie bénigne de la prostate pour les hommes canadiens

Transurethral Bladder Tumor Resection (TURBT)

Transurethral Resection of Bladder Tumor (TURBT) is a minimally invasive surgical procedure used to diagnose and treat bladder cancer. During the procedure, a cystoscope is inserted through the urethra to visualize and remove or destroy abnormal bladder tissue, providing both a definitive diagnosis and therapeutic intervention.
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How Does it Work?

Prior to a TURBT procedure, your healthcare provider will give you gel anesthesia or spinal anesthesia so you will be numb during the treatment.

In certain cases, your provider might use a catheter to release a special dye into your bladder so they can see the tumor better. This will happen in the preoperative area, about an hour before the surgery. During the procedure, they will use a special light that illuminates the dye so they can see the tumor.

Procedure

To perform this procedure, your healthcare provider will start by inserting the scope into your bladder through your urethra. They will locate and remove the tumor with a small cutting device. After the procedure, a pathologist will examine the tumor.

Heat will be applied to the area where they resected the tumor in order to stop any bleeding. The scope is removed, and a catheter is inserted if needed. This will drain your urine and other fluids from your bladder and prevent blood clots.

Duration

The duration of a TURBT procedure can vary depending on factors such as the size and complexity of the tumor, the extent of the resection required, and the individual patient’s anatomy. On average, a TURBT procedure typically takes approximately 30 minutes to 1 hour.

Recovery

Patients will typically get a catheter after the procedure for several days to allow the reception site to heal. After 4 weeks following the surgery, patients will return to the clinic to review their pathology. At this visit, we will determine the next cystoscopy screening, and the potential need for intravesical BCG, or other therapies to prevent recurrence and progression.

It can take up to 6 weeks to feel like you are fully recovered from a TURBT procedure. During the first 2 weeks, it is recommended that you get plenty of rest, and you should avoid straining or lifting any heavy objects. Your healthcare provider may also recommend you avoid driving.

It is possible that you may experience pain or burning when you pee. Your healthcare provider can let you know how to manage any discomfort. You also might notice a little bit of blood in your pee. This is normal, but let your provider know if you see more blood than expected.

Resection of Tumor (Before)
Resection of Tumor (After)
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Risks

Several risks of a TURBT procedure can include the following:
  • Anesthesia-related risks (including allergic reactions and breathing problems)
  • Urinary tract infections (UTIs)
  • Excessive bleeding or bleeding that lasts an abnormally long time
  • Bladder injuries

FAQS

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