Transurethral resection of the bladder: the features of the
Lately more people are coming with complaints of pain in the abdomen. Bladder cancer often affects men, especially those who can not get rid of the harmful habit — Smoking. By Smoking several times increases the risk of malignant tumors in the bladder. If the pathology is already there, then do not delay. Urgently need to seek help from a specialist. He may appoint transurethral resection of the bladder. What is this procedure and what are the consequences after the event?
Transuretralna resection: what is the procedure?
Transurethral resection of the bladder (TUR of the bladder) is a surgical procedure that is used to thoroughly inspect every inch of the inner surface of the body to collect samples for biopsy and resection of malignant tumor. During this procedure, the instruments of the surgeon are introduced via the cystoscope – a thin tube with a variety of lenses and light source. The instrument is introduced into the peritoneum through the urethra.
Transurethral resection is the primary treatment for cancer. This procedure performed to remove tissue of the bladder and the tumor. TOUR perfectly cope with this task at the moment is considered the only technique that helps to remove superficial cancer.
How is the TOUR?
Cancer primarily affects the mucous membranes of the body. If his time has not discovered and is not removed, it grows into the bladder wall. The mucosa of the body forms the transitional cell epithelium, and the cancer develops in the epithelium. The body is filled with a special solution — it must be done, so the surgeon can better see the inside of the bladder. Cancer or other suspicious areas are removed using Electrometry. Part of the tumor and other pieces of fabric on take to study for a biopsy is necessary in order to assess the degree of damage by disease. Thus it is necessary to prevent perforation of the wall.
The operation involves removal of the entire visible part of the tumor, are captured and surrounding healthy tissue. The tissue that was removed, examined under a microscope for diagnostic purposes. To provide the patient adequate drainage after the surgery, he administered an indwelling catheter. If necessary, after the operation the patient is prescribed interstitial radiation therapy.
Correct preparation for the procedure
In cases when there is suspicion that the patient it cancer to confirm the diagnosis is recommended to undergo several types of diagnosis. Doctor should collect all necessary information about the history of the disease. Rectal examination in men and examination through the vagina in women allow the doctor to find out what size has reached the tumor and the degree of destruction of the body.
When cancer is suspected, the doctor recommends to pass the following types of studies:
- diagnosis of tissue biopsy samples is implemented from the body;
- zitostaticescoe research;
- cytological analysis of urine;
- swabs taken from the bladder;
- pielografia conducted intravenously;
- detection of blood markers bladder.
A small lesion appears on the mucosa of the body and easily removed if you detect it in a timely manner. Blood in the urine is a first indication of the presence of pathology. Depending on how far the tumor has penetrated the epithelium of the body klassificeret cancer at stages from 0 to 4, and the lower it is, the less the degree of damage.
Often help treat people with tumors that affected not only the bladder, but also other organs of the urogenital system. If the doctor suspects that the cancer through the lymph and blood has penetrated deeper into the human body, designate such studies as CT and MRI. Before the patient is sent to the procedure, he is given to sign the document of consent to the operation. But the doctor will explain how you will undergo the operation, how to behave in the postoperative period and what are the possible complications after the procedure.
The postoperative period after TUR of the operation
The period after TUR is considered the most important. If you do not follow the recommendations of the doctor, complications will not keep itself waiting long. Immediately after the procedure the patient establish a system that performs continuous irrigation of the bladder with a special solution. This system takes the solution on one channel, and the output is on another channel right in the bag. Such a system can stand the patient up to 3 days. As soon as the solution will come out clean, no blood clots system clean.
Immediately after surgery the patient is allowed to drink water, if there is no nausea and vomiting. Drink water in small SIPS and by the end of the first day, allowed to drink up to 1.5 liters. Eat allowed a day, but worth the first 10 days diet: not to eat salty, fried and smoked. You can drink juices, tea, fruit drinks in large quantities — up to 3 liters per day. It is also recommended the administration of antibacterial drugs to prevent infection of the organism during the recovery period after surgery. Urethral catheter removed after an average of 2 days, but there were occasions when the doctor did not remove it after 4 days. After the catheter is removed, you need to carefully monitor the quality of your urine — it should be bright and without any admixture of blood.
Within 2 weeks after the surgery was performed, the patient may experience discomfort during urination:
- urine comes out in small portions;
- feels burning and stinging in the urethra;
- there are very strong and unbearable urge to urinate.
If symptoms have not disappeared within 14 days, then you need to seek the advice of a doctor. Blood in the urine periodically occur for another 3 weeks. In this case, you will need to increase fluid intake, try to avoid physical exertion.
The biopsy results come in 7-10 days. To know the final diagnosis and the result of the study by the attending doctor. In those cases, if the biopsy reveals that the tumor is malignant, then the patient requires further treatment. Selected for each patient an individual treatment. Every patient, before going on the TOUR should know that after surgery, complications can occur.
Possible complications after TUR
After any operation there is a risk of developing serious complications. After the TOUR of the bladder can cause bleeding. Need intensive washing of the body. If there is perforation of the bladder, the catheter is not removed until 5 days. To prevent infections, prescribe antibiotics. If the perforation leads to the fact that the urine is outside the body, in this case, is assigned to the operation on the peritoneum.
Cancer is an insidious disease. If it is not detected in time, the destructive process continues. TUR biopsy of the bladder gives the possibility to recognize and remove the tumor at an early stage. Surgery is the drastic measure, which gives a chance for recovery when other methods do not have a positive impact.