Urology Casablanca

Endoscopic bladder tumor resection

The operation proposed to you is intended to remove or remove your bladder lesion and have it analyzed under a microscope. The bladder The bladder is the reservoir in which urine from the kidneys is stored before being evacuated during urination. Legend: pr: prostate; r: rectum; u: ureter; ur: urethra; ut: uterus; va: vagina; ve: bladder

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Why this gesture? An abnormality of your bladder has been detected or suspected by radiological, biological or endoscopic examinations; only microscopic examination of the removed tissue will make the exact diagnosis allowing us to offer you the appropriate treatment and follow-up. The absence of an accurate diagnosis and treatment exposes you to the risk of developing a dangerous lesion, possibly cancerous or likely to become so. Are there other possibilities? There is no other way than the gesture which is proposed to you to allow the ablation or the removal of your bladder anomaly. Preparing for the intervention As with any surgery, a pre-operative anesthesia consultation is required a few days before the operation. The urine must be sterile for the operation: a urine analysis is therefore carried out before the operation to check the sterility of the urine and treat any infection. The operation takes place under general or loco-regional anesthesia.

Surgical technique This intervention is carried out by natural means without abdominal opening. The surgeon introduces a device called a resector into the urethral canal. The operation takes place under visual control. The resector removes the lesion and coagulates the various vessels liable to bleed. The collected tissues are sent to the laboratory for analysis. At the end of the intervention, a probe, possibly with continuous lavage, is usually placed in the bladder. Usual suites Bladder lavage is stopped as soon as the urine is clear, and the bladder catheter is removed according to the surgeon's instructions after one or more days. When the catheter is removed, the urine is clear or sometimes still tinged with blood. You may feel burning for a few days while urinating. For a few weeks after the operation, you will be recommended to drink plenty of water and it is best during this period to avoid exertion. The duration of your hospitalization is variable, decided by your surgeon according to the postoperative course, your general condition and the type and extent of your bladder injury. Bleeding in the urine during the first postoperative weeks is possible, which justifies the recommendations cited. If this bleeding is important, a new hospitalization may be necessary. You will discuss with your surgeon the date of return to work if necessary. The result of the analysis of your bladder sample is only known a few days after the operation. This result will be forwarded to your attending physician. You will be informed by your urologist or through your doctor of the action to be taken and subsequent monitoring.

Risks and Complications Any surgical procedure involves a certain percentage of complications and risks, including vital ones, due not only to the disease with which you are affected but also to individual variations which are not always predictable. Some of these complications occur exceptionally and may sometimes not be curable. During this operation, the surgeon may be faced with a discovery or an unforeseen event requiring additional or different procedures from those initially planned, or even an interruption of the planned protocol. Some complications are related to your general condition and the anesthesia; they will be explained to you during the preoperative consultation with the anesthesiologist and are possible in any surgical procedure. Other complications directly related to the surgical procedure of bladder resection are possible: - A postoperative urinary tract infection is frequent (1 to 10%); it will require antibiotic treatment. - More rarely, other complications may occur. Your urologist is at your disposal for any information