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TUR-Mesane

Transurethral resection of bladder tumor (TUR-M). It is often done to find out if someone has bladder cancer and, if so, whether the cancer has spread to the muscle layer of the bladder wall.

TUR-M is also the most common treatment for early-stage or superficial bladder cancers. Most patients have superficial cancer when they are first diagnosed, so this is often their first line of treatment. Sometimes a second, more extensive TUR-M is done to better make sure all the cancer has been removed. The aim is to remove cancer cells and nearby tissues up to the muscle layer of the bladder wall. 

Depending on the pathology results after TUR-M surgery, additional interventions and/or treatments may be considered. You can receive drug therapy to be given to your bladder, you can have TUR-M surgery again, or if the tumor has advanced to the bladder muscle layer, you can be referred to treatments such as radical cystectomy, radiation therapy and/or chemotherapy. 

Radical Cystectomy
When bladder cancer has spread to the bladder muscle, all or part of the bladder may need to be removed. This operation is called cystectomy. The procedure to remove the entire bladder is called a radical cystectomy. In men, this typically includes removal of the prostate and seminal vesicles, and in women, usually part of the uterus, ovaries, fallopian tubes, and vagina. Radical cystectomy also involves creating a urinary diversion as the bladder is removed during the procedure. This urinary diversion involves using portions of the bowel to allow urine to pass from the kidneys to a duct formed from the gut, a urinary reservoir bladder, or a neobladder.

This is major surgery with a significant risk of complications and even potentially death.

General anesthesia (where you are in deep sleep) is used for both types of cystectomy.

AFTER SURGERY

After TUR-M will have a catheter placed in the bladder to drain urine. It is normal to have blood in the urine at first. Drinking fluids will help clear your bladder and prevent infections. Your catheter will be removed when no more blood is visible in the urine or when you go home.

If you have additional medical conditions  or have a large amount of tissue removed, we may recommend an overnight hospital stay.

At first, you may feel some discomfort while urinating. You can return to normal activity within a few days.

Radical CystectomyYou will likely stay in the hospital for 1-2 weeks afterward, although it may take 6-8 weeks to fully recover from the cystectomy. Recovery time depends on the type of surgery, your condition and whether you have any complications. Depending on the type of work you do, you will probably need to take about 4-6 weeks off from your job.

conduit. A tube made from part of your small intestine diverts your pee directly out of your body through your kidneys. A surgical hole in your abdomen allows the open end of the small intestine to drain urine into a small, flat sac. You will need to empty it several times a day.

New bladder. Instead of a tube, your surgeon takes a larger piece of your small intestine and creates a new bladder. At the bottom it connects to the urethra - a channel that runs down the penis in men and into an opening near the vagina in women - so you can pee more or less like you used to. But you won't have the normal muscle reflexes that come into play when the bladder is full. This is why some people may need to wear a pad or condom device to catch leaks, especially at night. Also, sometimes you may need to insert a thin tube called a catheter into your urethra to completely empty the new bladder.

Bladder Cancer Surgery

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