Download Transurethral Resection of Bladder Tumours

2014
Transurethral
Resection of
Bladder Tumours
Transurethral Resection of
Bladder Tumours
What is the bladder?
The bladder is a hollow, muscular organ that stores
urine (pee). Urine travels from your kidneys through
two tubes (ureters) into your bladder. It stays there
until you feel you have to urinate (pee). At that time,
the bladder squeezes the urine out of your body
through a tube called the urethra.
Kidney
Ureter
Bladder
Urethra
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Why am I having this surgery?
You may have some of these bladder problems:
• Blood in your urine
• Urinating more often
• Pain when urinating
• A sudden need to urinate
Because of your problem(s) and test results, your
doctor believes you may have a tumour (growth)
inside your bladder. You and your urologist have
talked about the best treatment for you. Your
urologist is going to take out the tumour. Your
surgery is called a transurethral resection of a
bladder tumour (TURBT).
Getting ready for surgery
Please read the pamphlet Planning for Your Hospital
Stay After Surgery.
2
The surgery
• Before your surgery, an intravenous (IV) will be
started in a vein in your hand or arm (to give you
fluids and/or medication).
• You will then be put to sleep, or the lower half of
your body will be frozen so that you will not feel
any pain during the surgery.
• Your doctor will pass a tube-like instrument (called
a cystoscope) through the opening from which you
urinate into your urethra and up into your bladder.
• With this scope, the doctor will look at the inside
of your bladder. Any growths will be taken out.
• You will not have an incision (cut) on the outside
of your body.
After your surgery
You will go to a special recovery area. Your breathing,
pulse, and blood pressure will be checked often. If
the growth was small, you may be able to go home
when you are fully awake and stable. Otherwise, you
will go back to your hospital room.
Intravenous
You may have an IV for about 24 hours. It is usually
taken out when you are able to eat and drink.
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Catheter and CBI
You may have a catheter
(a tube into your bladder
that drains urine). It may
be connected to continuous
bladder irrigation (CBI). This
solution flows constantly into
your bladder to lower the
chance of blood clots forming.
The fluid will then drain out
through the catheter into a
collection bag.
It is OK to have blood in your urine at this time. It
will go away over the next few days. Drinking extra
fluids will help get rid of the blood in your urine.
After the catheter is taken out, the nurses will
measure your urine.
Healthy eating
You will be able to eat your usual meals when you go
back to your room.
Activity
You must have a nurse with you the first time you get
up. You may move around as soon as you feel able to
do so.
Controlling discomfort
There is sometimes a little burning the first few
times you urinate. Over time this will go away.
4
At home
Fluids
You may see some blood in your urine on and off
for the next few weeks. This is OK. If your urine is
pale yellow, drink your usual amount of fluid. If your
urine is red or brown-tinged, drink 8–10 glasses of
fluid each day. This will wash out your bladder and
help prevent infection. Alcohol slows healing. Do not
drink alcohol for 1 month.
Healthy eating
You may eat all the foods you ate before your
surgery.
Bowel care
• Do not force or strain to have a bowel movement.
This can cause bleeding from the area where the
surgery was done.
• Avoid constipation by eating fruits, vegetables,
bran, and prunes.
• Do not get an enema unless you have talked about
this with your doctor.
Activity
• Do not do any vigorous (hard) exercise for at least
6 weeks.
• You can lift up to 5 pounds, not more.
• Walking short distances is OK.
• Ask your doctor if you are not sure about any
activity.
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Car rides
• Do not go for long drives. Avoid bumpy roads that
could cause bleeding from the site of your surgery.
• After 3-4 weeks, you will be able to drive again.
Sex
• You may have mild discomfort when you go back
to having sex. This will soon go away.
• Sexual sensation, desire, and erections should be
the same as before your surgery.
Medications
• Take all prescribed medications as told by your
doctor.
• Check with your doctor before taking ASA
(Aspirin®) or blood thinners.
Going back to work
Depending on your job, you may usually go back to
work a few weeks after your surgery. Talk about this
with your doctor.
Follow-up
Before you leave the hospital, you will get a
follow-up appointment with your urologist. You
will come back to the hospital for another checkup in about 3 months. It is important to keep your
appointments so you can be watched closely.
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Call your doctor right away if you:
• Have bright red urine
• Have a sudden onset of pain
• Have a fever
• Are unable to urinate
If you need to see a doctor, please contact your
family doctor or go to the nearest Emergency
Department unless otherwise instructed by your
Urologist.
If you have any questions, please ask.
We are here to help you.
Looking for more health information?
Contact your local public library for books, videos, magazines, and other resources.
For more information go to http://library.novascotia.ca
Capital Health promotes a smoke-free, vape-free, and scent-free environment.
Please do not use perfumed products. Thank you!
Capital Health, Nova Scotia
www.cdha.nshealth.ca
Prepared by: Urology Nursing Education Committee, QEII, Halifax
Revised by: Urology Practice Council
Illustration by: LifeART Super Anatomy 1 Images, Copyright © 1994, TechPool Studios Corp. USA;
Capital Health Staff
Designed by: Capital Health Library Services, Patient Education Team
Printed by: Dalhousie University Print Centre
The information in this brochure is provided for informational and educational purposes only.
The information is not intended to be and does not constitute healthcare or medical advice.
If you have any questions, please ask your healthcare provider.
WJ85-0482 Revised September 2014
The information in this pamphlet is to be updated every 3 years.