Medication Guide App

Transurethral Resection Of Bladder Tumors

WHAT YOU SHOULD KNOW:

Transurethral resection of bladder tumors (TURBT) is surgery to remove one or more tumors ) from your bladder. Your bladder is the organ that holds your urine. Urine flows from your bladder through your urethra, and then outside of your body. With TURBT, your caregiver will remove bladder tumors, muscle, and tissue through your urethra. Having TURBT may decrease symptoms such as blood in your urine, or pain when you urinate. If you have bladder cancer, TURBT can help you and your caregiver plan treatment, or it may show how well your treatments are working. TURBT may remove your bladder cancer, or show if cancer has spread to other parts of your body.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

  • During TURBT, a muscle may tighten and damage your bladder. You may get an infection in your bladder or blood. You may have bleeding inside your bladder. You may need to have more surgery to treat these problems. After surgery, urination may be painful, and you may have blood in your urine. You may feel pain in your abdomen or pelvis. You may feel like you need to urinate more often, or without warning.

  • With or without TURBT, you may get more tumors. If you have cancer, it may spread to other parts of your body. If you do not have TURBT, you and your caregiver may not know the cause of your tumors. Your symptoms, such as blood in your urine and pain when you urinate, may worsen. Call your caregiver if you have questions or concerns about your surgery, medicine, or care.

WHILE YOU ARE HERE:

Before your surgery:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • Anesthesia: This medicine is given to make you comfortable. You may not feel discomfort, pressure, or pain. An adult will need to drive you home and should stay with you for 24 hours. Ask your caregiver if you can drive or use machinery within 24 hours. Also ask if and when you can drink alcohol or use over-the-counter medicine. You may not want to make important decisions until 24 hours have passed.

    • General anesthesia will keep you asleep and free from pain during surgery. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

    • Regional anesthesia: Medicine is injected to numb the body area where the surgery or procedure will be done. You will remain awake during the surgery or procedure.

During your surgery:

  • Your caregiver puts a tool called a resectoscope through your urethra and into your bladder. The scope has a camera to help guide your caregiver during surgery. Your caregiver puts fluid inside the scope to wash your bladder, and widen it during surgery. The scope has a wire with an electric current. The current is used to stop bleeding in your bladder, or remove bladder tumors. Your caregiver also may remove muscle and tissue from your bladder. Tumors, muscle, and tissue are sent to a lab for tests.

  • If you have cancer, your caregiver may use the scope to put medicine into your bladder. This medicine may kill pieces of tumor that are still in your bladder, and help prevent new tumors from growing. Other treatments may also be done during your surgery. After surgery, the scope is removed.

After your surgery:

You will be taken to a room to rest. Do not get out of bed until caregivers say it is okay. When your caregivers see that you are okay, you may be able to go home. If you are staying in the hospital, you will be taken to your room.

  • Foley catheter: A Foley catheter is a tube that is put through your urethra, and into your bladder. The catheter drains your urine out of your body, and into a bag. Keep the bag of urine below your waist. Lifting the urine bag higher will make the urine flow back into your bladder, which can cause an infection. Avoid pulling on the catheter because this may cause pain and bleeding, and the catheter may come out. Do not allow the catheter tubing to kink because this will block the flow of urine.

  • Medicines:

    • Antinausea medicine: This medicine may be given to calm your stomach and prevent vomiting.

    • Pain medicine: Caregivers may give you medicine to take away or decrease your pain.

      • Do not wait until the pain is severe to ask for your medicine. Tell caregivers if your pain does not decrease. The medicine may not work as well at controlling your pain if you wait too long to take it.

      • Pain medicine can make you dizzy or sleepy. Prevent falls by calling a caregiver when you want to get out of bed or if you need help.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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