Endoscopy | Bladder Biopsy & Tumor Resection (TURBT)

Description of Procedure

This is an endoscopic (through a scope) procedure to sample tissue from your bladder (biopsy) or resect (scrape away) a growth in your bladder.  This is done as an outpatient procedure under either sedation, a general anesthetic or a spinal anesthetic.  Sometimes it is necessary to leave a catheter inside the bladder for a few days afterwards.   It usually takes 2 weeks to get the results (pathology report) of the tissue removed at the time of surgery.

 

After Procedure

If you have questions that are not answered here, please contact us.

 

What to Expect

 In general, temporary problems with passing of urine can occur following surgery and will gradually improve over 3-6 weeks. The following is considered NORMAL:

  •  Your stream should be strong unless you are passing small amounts of urine because of frequent urination.
  •  You may experience pain or discomfort when passing urine or at the end of urination. This may be intense for the first few days following surgery.

  •  You may experience blood in your urine, including blood clot and debris, for 3-6 weeks after surgery. The bleeding may appear heavy, but the blood loss is usually very small. Bleeding may be associated with activity.  If this occurs, rest and drink lots of water until urine clears.

  •  You may feel the need to pass urine frequently and urgently for several days or even weeks.

  •  You may experience occasional leakage of urine associated with urgency for several days.

  • You may feel tired and need to nap during the day for several days.

 

Cautions

Report any of the following to your doctor:

  •  You cannot pass urine.

  •  Fever over 38.5 C.

  •  Severe pain unrelieved by medication.

  • Catheter blocked or dislodged.

 

Diet

Advance to usual diet as tolerated. Avoid foods which constipate you.

 

  •  Certain foods may irritate your bladder while it heals, try to stay away from these: caffeine, pop, alcohol, spicy food.

 

  • Drink enough water to keep your urine reasonably clear, usually 8-10 glasses of water per day.

 

Activity

Get up and about as soon as possible after surgery.

  •  Walk as tolerated.

  •  Avoid lifting more than 30 lbs for 2 wks.

  •  You may start showering the day after surgery, even if you have a catheter. Do not submerge in a tub bath until the catheter is removed.

  •  If a catheter is in place, please review catheter care instructions.

  • Avoid driving while catheter is in place.

 

Medications

  •  Take antibiotics as prescribed.
  •  Use prescription pain medication as needed.
  •  Take a stool softener (obtain over the counter at local pharmacy) starting the night of your surgery.  Stop taking stool softeners once having soft bowel movements.  Do not take stool softeners if diarrhea occurs.
  •  If you have not had a bowel movement by the 3rd day after your surgery, take a laxative (obtain at your local pharmacy over the counter).
  • You may begin your regular medications when you leave the hospital unless instructed otherwise. If you are on blood thinners, your doctor will tell you when it is safe to resume them.

 

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