Transurethral urinary bladder resection (TURB)

This is an endoscopic procedure during which pathological lesions are removed from the bladder with the use of a resectoscope. The removed tissue is sent for histopathology tests for microscopic evaluation.

Your eligibility for the procedure will be evaluated by a specialist in urology on the basis of your medical history, imaging tests (ultrasound, CT, MRI) or on the basis of cystoscopy.

• Two weeks before the procedure you should have the following blood tests done: full blood count, electrolyte test, coagulation test, blood type, glucose, creatinine, Hbs antigen, ANTI-HCV,
• consultation with an anaesthetist,
• urinalysis and urine culture,
• additional imaging tests (MRI, CT, skeletal scintigraphy) in high-risk cases / relapse cases,
• anticoagulant medications should be discontinued 2 to 7 days before the procedure, depending on individual medications.

The procedure is performed under local or general anaesthesia. A resectoscope is introduced into the bladder through the urethra and abnormal tumour tissue is removed.
After the procedure a Foley catheter is left in the urethra for irrigation.

• the catheter is left for 1 to 4 days until the urine is clear,
• further treatment depends on histopathology results,
• oral antibiotic therapy (if necessary) is administered for 3 to 5 days,
• we recommend continuous monitoring of your condition for oncological lesions in the urinary tract: an ultrasound scan and cystoscopy every 3 months after the procedure.