Type of Surgery
Last updated: 11/24/2009
As with any surgical procedure, blood pressure and pulse will be monitored. Urine is expected to be blood-tinged in the early postoperative period. Continuous bladder irrigation (rinsing) may be used for approximately 24 hours after surgery. Most operative...
sites should be completely healed in three months. The patient is followed closely for possible recurrence with visual examination, using a special viewing device (cystoscope) at regular intervals. Because bladder cancer has a high rate of recurrence, frequent screenings are recommended. Normally, screenings would be needed every three to six months for the first three years, and every year after that, or as the physician considers necessary. Cystoscopy can catch a recurrence before it progresses to invasive cancer, which is difficult to treat.
An enlarged prostate can lead to problems with urination and urinary tract infections. One treatment for an enlarged prostate is a TURP or Transurethral Resection of the Prostate. The video describes a step-by-step process involved in a TURP.
Transurethral bladder resection is a surgical procedure, performed under sedation or anesthesia, with a lighted tube inserted through the urethra (the small tube-like structure that allows urine to empty from the bladder), into the bladder. It plays both a diagnostic and therapeutic role in the treatment of bladder cancers.
For this procedure, a lighted tube (resectoscope) is inserted through the urethra, into the bladder. A clear solution is infused to maintain visibility, and the tumor or tissue to be examined is cut away using an electric current. Tumor and muscle fibers are biopsied (a sample is cut out and examined, usually under a microscope) in order to evaluate the depth of tissue involvement, while avoiding perforation of the bladder wall. Every attempt is made to remove all visible tumor tissue, along with a small border of healthy tissue. The resected tissue is examined under the microscope for diagnostic purposes. An indwelling catheter may be inserted to ensure adequate drainage of the bladder postoperatively. At this time, interstitial radiation therapy may be initiated if necessary.
â€” Kathleen D. Wright, RN
As a urologist, I've found it's easier to do the PSA test and then sit down with the patient and say here's what the results mean for you. Given what we know right now, that seems a very sensible approach.
-Dr. Evan Vapnek
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