Transurethral Resection of Bladder Tumour/TURBT
One of the components of the urinary system is the bladder- a hollow, balloon-shaped organ situated in the lower abdomen of every human being. The bladder's main role is to store urine produced by the kidneys. It has a muscular wall that expands to store large amounts of urine and shrinks to pass urine out of the body through the urethra and the penis or vagina.
Bladder cancer is one of the serious medical conditions impacting bladder functioning. It occurs because of abnormal cell division and uncontrolled growth of bladder cells.
Fortunately, early-stage bladder cancer and removal are possible with (Transurethral Resection of Bladder Tumour or TURBT Surgery in Hyderabad. Arete Hospitals is one of the leading multispecialty hospitals with the best urology department staffed with top-notch urologists and advanced technologies. TURBT is one of the expertise of our appointed urologists.
Benefits of TURBT Surgery
- It removes malignancy while preserving healthy bladder tissue.
- There is a meagre chance of bladder damage or infection.
- If necessary (for staging or recurrence), the procedure can be safely repeated numerous times
- It is minimally invasive surgery avoiding abdominal incisions. There is no need for any skin incisions in the lower abdomen
- Lower risk of bladder damage or infection.
- Patients experience a swift post-surgery recovery.
What is TURBT?
TURBT is a minimally invasive operation designed for the diagnosis and removal of a bladder tumour at the same time. It helps treat early-stage bladder cancer which is restricted to the inner layers of the bladder. This Transurethral Resection of Bladder Tumour surgery in Hyderabad is performed using a cystoscope, through a urinary route without making abdominal incisions. It is usually the first-line diagnostic test and surgical intervention for non-muscle invasive bladder cancer.
For more details on Bladder Tumour Treatment in Hyderabad, consult the urologist at Arete Hospitals.
Symptoms of Bladder Cancer
The common symptoms of bladder cancer include:
- Haematuria (blood in the urine that makes urine appear red or rusty), is usually painless and may be visible only occasionally over a few months
- A burning feeling during urination
- A frequent urge to urinate
- Painful or difficult urination
- The discomfort felt in the side of the body between the ribcage and the top of the hip due to a bladder tumour restricting a ureter
- Impeded urine flow because of tumour growth constricting the urethra
- Shedding of dead tissue, fragments of other tissue, and different types of tumour-related materials, which are ultimately seen in the urine
- Pelvic pain and bone pain at the place of the new disease, leg swelling (oedema) due to lymph node involvement, weight loss, and exhaustion (signs of cancer spreading beyond the bladder)
- Anaemia and elevated blood levels of urea and other metabolic byproducts, often caused by urinary tract obstruction (signs of late-stage bladder cancer).
Ideal candidates for TURBT Surgery
TURBT may be a practical treatment choice for those who:
- Are suspected of having bladder cancer; TURBT can assist in confirming a diagnosis and determining the extent of the cancer.
- Have been diagnosed with stage 1 bladder cancer.
- Have bladder cancer that has not progressed to the bladder wall's muscular layer.
Diagnosis of Bladder Tumour
There are many diagnostic procedures/tests available for bladder tumours. A urologist in Hyderabad may order routine urine microscopy and culture to check for the presence of red blood cells and rule out infections.
To screen for cancer carrier cells, Transurethral Resection Prostate Surgery Doctors in Hyderabad order urine cytology on three successive days in succession, beginning with the morning first urine sample. An abdominal ultrasound may be recommended to determine the size of the tumour as well as the kidneys, ureters, and prostate of the patient.
Besides, other imaging tests like contrast-enhanced CT scans for identifying bladder tumours and assisting in patient surgery planning and a PET scan to determine whether the tumour is restricted to the bladder or has spread to other body areas, may be used for diagnosis. If the patient is diagnosed with a bladder tumour, the surgeon may ask the patient to run some pre-operative tests to check for their physical fitness before TURBT surgery. These tests include complete blood tests, a chest X-ray, an ECG, and an ECHO (if necessary). All these tests are available at Arete Hospitals, Best Urology Hospital in Hyderabad. Consult the experts for more details.
TURBT Surgery Procedure
TURBT surgery is generally performed under general anaesthesia. Tiny bladder tumours may be removed and can be performed under spinal anaesthesia. Patients will be attentively monitored throughout the treatment.
Before starting the surgery, the patient is positioned in a lithotomy posture and the site to be operated is kept clean. The surgery commences when the TURBT Doctors in Hyderabad inserts a thin, rigid tube called a resectoscope into the bladder through the urethra. The resectoscope has a camera, light, and surgical tools attached to it which helps to diagnose and operate the patient. It helps thoroughly examine the bladder and remove small tumours that are sent to a laboratory for pathological testing. Following small tumour removal, a portion of the standard bladder wall right below the tumour is excised and submitted for biopsy to determine the growth of the tumour.
Once done, the TURBT Treatment Doctors in Hyderabad attempt to cauterise or fulgurate any remaining cancer cells in the bladder.
In the case of small tumours, intravesical chemotherapy is given at the end of the procedure to treat any microscopic cancer cells that were not removed by surgery. At the end of the surgery, a catheter is put within the bladder to help irritate the blood out of the bladder and drain it better.
TURBT Cost in Hyderabad
The cost of the procedure can vary from patient to patient, so it's crucial to consult the experienced team of experts at Arete Hospitals for accurate and personalised information on TURBT Surgery Cost in Hyderabad.
Postoperative Guidelines
- Daily, drink plenty of water. Drink at least two litres of water or juice for two to three days. This will dilute the urine, make urine free of blood, lessen urination discomfort, and prevent blood clots.
- Resuming daily activities as soon as you feel able to. This will help you recover faster. Some may require more sleep than usual in the days following hospital discharge.
- Avoid lifting anything heavier than 2 kg for 2 weeks following surgery.
- Refrain from sexual activities for up to two weeks.
- Be gentle during bowel movements. If necessary, use a stool softener, such as an osmotic laxative.
- Avoid strenuous cycling or exercise.
- Avoid domestic chores like window cleaning, vacuuming, and gardening.
Risks Associated with TURBT Surgery
Although serious issues are uncommon, every surgical treatment carries some risk. Before asking patients to sign the consent form, the doctor will discuss the specific risks of this treatment with them in detail.
The common side effects of TURBT surgery that will subside within the first 10–14 days include:
- Mild bleeding, discomfort, or burning sensation while urinating (intermittent or persistent for up to a month)
- Blood clots.
Rare side effects include:
- Scar formation due to an injured urethra
- Ureteritis- an injury to the ureters that empty the kidneys
- Perforation of the bladder, requiring a prolonged period with a catheter or open repair
- Difficulty passing urine immediately after surgery. This is uncommon because most patients have a catheter for the first 48 hours after surgery
- Bladder infection.
1. What happens to the bladder tumour after surgery?
A pathologist will examine all tumour samples from the TURBT. With pathological testing, the surgeon would be able to determine the type of bladder cancer the patient has and even its depth of invasion into the bladder wall. This will assist the pathologist, and other medical team members in determining the stage and grade of bladder cancer. These findings and imaging studies, such as CT scans, will determine the type and length of additional treatment required.
2. How long should a TURBT procedure take?
The overall procedure usually takes 1-2 hours.
3. How long will it take me to recover from a TURBT?
Every patient is unique. A patient may need more or less time to recover than another. The overall recovery can take 2 to 4 weeks. The first 5-7 days following surgery are crucial for recovery. This rest period allows the bladder to recover and reduces the risk of bleeding. After this, patients can usually resume light duties and daily physical activities.
Arete Hospitals stands as the best for Transurethral Resection of Bladder Tumour Hospitals in Hyderabad. Renowned for its state-of-the-art facilities, experienced medical staff, and commitment to patient care, Arete Hospitals offers top-quality services. With a focus on advanced technology, patient comfort, and successful outcomes, Arete Hospitals ensures that individuals receive the highest standard of care for TURBT procedures. From preoperative evaluation to postoperative recovery, their dedicated team strives to provide comprehensive and compassionate care.
Choosing Arete Hospitals for TURBT in Hyderabad ensures you're in capable hands for your medical needs. Visit now for more details!
