transurethral resection of the bladderTransurethral resection (TUR) of the bladder is a surgical intervention which is aimed diagnosis and treatment of tumors of the bladder. And this is the most common method of treatment for early stages and superficial forms ofcancer of the bladder .

The technique of transurethral resection of the bladder is actively practiced in Israel, there is no alternative to it. This is an effective method of treatment of the initial stages of malignant tumors of the body. Sometimes an additional method is used in its advanced stages of cancer.

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This procedure has the following objectives:

  1. Diagnosis: study internal body surface to detect malignant cells.
  2. Diagnosis: using TUR can define the surface shape or invasive cancer.
  3. Treatment - made destruction of one or more small tumors.

Preparation for transurethral resection of the bladder

The surgeon thoroughly explains the entire process of preparation for surgery. For example, if a patient smokes, he offered to quit, as this habit increases the risk of infection, thereby slowing down the healing process. Over 6 hours prior to surgery terminated meal or liquid. Before surgery the patient to measure the pulse, blood pressure, urinalysis performed.

Tours can be conducted with the use of general anesthesia or spinal anesthesia when the lower part of the body is anesthetized. The patient is told about the risks, benefits and alternatives to transurethral resection.

Operation TURBT in Israel

During surgery used hard cystoscope, which is also called a resectoscope. The surgeon inserts it into the urethra, advancing to the bladder. Therethrough poured into sterile body fluid, improving the visualization process. The camera lens on the end device transmits the images inside surface of the bladder at the monitor.

A special wire elektropetli, with which the resectoscope is removed (cut off) portion of the tumor and the healthy tissue around it, and the wound is sealed to prevent bleeding. Most entities are papillary and are easily removed. Medium and large tumors resected in part because they are too large to evacuate them through resectoscope. The removed tissue is sent to a lab for testing. In order postoperative drainage surgeon inserts the catheter into the bladder for at least 24 hours. Transurethral resection can take 15 to 40 minutes.

After surgery, TUR bladder cancer at the surface may appoint mitomycin C - chemotherapy drug or BCG (bacillus Calmette-Guerin) to eliminate potential remaining cancer cells and prevent recurrence.

Also other additional measures in the fight against the disease. It applies an electric current or a high-energy laser, which are executed via a cystoscope.

Patients with a long history of recurrent, non-invasive tumors may use an electric current to eliminate small tumors that are rendered during cystoscopy instead of rezetsirovaniya. The procedure is safe, though somewhat uncomfortable, local anesthesia.

Recovery after TUR of the bladder in Israel

Immediately after surgery, the patient is moved into the chamber, where it departs from the effects of anesthesia. You may need pain medication assignment. The nurse checks the catheter, which can be connected to the system, the eluted blood, it clots from the bladder. It also controls blood pressure and heart rate. To prevent infections may prescribe antibiotics.

hospitalization period lasts from 1 to 3 days. Before discharge, the catheter is removed, and set the date for a subsequent visit.

Patients are advised to drink plenty of fluids during the first two days to clean the bladder and reduce the risk of infection. In the appointment of a course of antibiotics is important to complete their reception. As analgesics are recommended paracetamol or ibuprofen.

During the first two weeks after surgery TURBT contraindicated exercise, hard work and driving.

Side effects

There are some risks associated with transurethral resection. What matters is individual factor, so the symptoms may be specific for each patient.

Undesirable effects of the operation are mainly temporary effects:

  • Pain and discomfort in the bladder and urethra, which take place a day - two.
  • Blood in the urine can be observed within two weeks.

But, if the following symptoms occur, be sure to contact your physician:

  • Temperature over 37,5 ° C.
  • Severe pain or pain that lasts for more than 48 hours.
  • Burning during urination or unpleasant odor of urine
  • Blood clots in the urine.

Complications after TUR of the bladder

Complications are possible during or after the procedure. Among those that occur with any surgery, noted an unexpected reaction to the anesthetic, bleeding, deep vein thrombosis.

Potential adverse effects of transurethral resection include:

  • Infections of the genitourinary system.
  • Blood in the urine.
  • Difficulty urinating.
  • Blockage of the urethra.
  • Damage to the urethra, bladder, which may require another surgery.

Regular physical examination of the patient is held every month for six months. If the tumor is not removed completely, or if it has started to grow again, the doctor may take a second TUR procedure. A specialist in the treatment of cancer of the bladder isLeon Agulyansky. The doctor has extensive experience in the treatment of cancer in the area of ​​urology.

Unfortunately, even with successful treatment of bladder cancer often recurs in other body segments. If transurethral resection repeated many times, the bladder is scarred and lose their ability to hold a large amount of urine. Some people have noted frequent urination or urinary incontinence.

Bipolar TUR bladder

In 1998, there was a bipolar transurethral resection, which expanded the range of electrosurgical treatments. Bipolar electrical stimulation differs from monopolar in that the current is limited by the distance between the two electrodes (passive and active), and does not pass through the entire body. In the application of traditional methods of tissue temperature - more than 400C, the new - 40-70S. As a result, the surrounding tissue is less exposed to adverse thermal damage, reduced effect on the obturator nerve, increase diagnostic capabilities. With the new method TOUR conducted in patients with a pacemaker. Israeli clinics perform this type of surgery.

During TURBT Israel used a unique method of Frozen Section, when the frozen tissue resected and immediately examine it under a microscope. Thus, the check is carried out fully if the cancer cells have been removed.

Medical service will assist in the organization of transurethral resection in clinics in Israel, the most optimal process treatment from the best specialists.

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