TURBT is the most common surgical procedure performed for bladder tumor removal, a cancerous condition affecting the urinary bladder .
Speciality center in Chennai
Understanding Laparoscopic Bladder tumor Removal
There are two ways by which bladder tumors are removed. Either only the tumor is trapped and burnt or the whole bladder is removed and replaced by tube through which urine is passed out. If the tumor is identified in its early stages, the bladder is preserved and only the tumor burnt. This is usually the case 99% of the time because bladder tumors are identified in its initial stages itself, due to its most obvious presentation i.e. presence of bloody urine.
How is Laparoscopic Bladder tumor Removal Performed
Transurethral resection of tumor or TURBT is the most commonly performed procedure for bladder tumors.
A thin tube with a camera at its end, known as a scope, is inserted into the bladder through the Urethra (passage through which urine comes out).
All the superficial tumors are identified.
An electrical wire loop is also inserted. The identified tumors are trapped within the loop and burnt.
This is a scarless surgery since the whole procedure is done through instruments inserted through the urethra, a natural opening.
Laparoscopic Radical Cystectomy
Only 1 in 100 people will need this procedure.
Three tiny incisions are made in the lower abdomen.
A camera along with special surgical instruments are inserted through this incisions.
Blood vessels and important structures surrounding the bladder are identified and carefully clipped.
The ureters are also identified, separated from the bladder and clipped.
The whole bladder is separated from its supporting structures. It is then carefully removed out of the body through the incision made over the umbilicus.
A tube is then made out of bowel loops, and kept in the place of old bladder.
Ureters are attached to this tube. This tube thus drains urine from the ureters to an opening created in the abdomen.
A drainable pouch is placed over this opening to collect the urine.
It is easier to treat Bladder cancer,in its early stages, as soon as identified. Delayed treatment increases the risk of a poor recovery.
Life After Laparoscopic Bladder tumor removal
After a TURBT procedure, the person can lead an absolutely normal life with only a minimal risk for infections. And although the chances of the tumor recurrence is low, yearly check ups are recommended to evaluate for any.
After a complete bladder removal, one has to take care of the opening created on the abdomen, so as to prevent any infection at the site. The bag should be emptied and cleaned at regular intervals.
Regular follow up check ups with the surgeon is a must, post surgery.
Bladder tumor removal FAQ’s
No, more than 98% of patients have only a keyhole surgery which is performed through a urinary passage. We will be able to see your bladder tumor, pass a electrical lope around its base, and burn it off completely.
No, it is being done in a regular basis, and it will only take about and hour are so. The blood loss is minimal, and you should be able to go home in a day or two.
No. You need to have this as soon as possible because if the bladder tumor invades in the wall of the bladder, you which will require a much larger operation, which is a total cutting out of the urinary bladder. That is quite a major and mutilating procedure. It is best that you have the endoscopic bladder tumor removal (TURBT) or trans urethral resection of the bladder tumor, as soon as possible.
Not at all, although the idea of an operating scope going through your urinary passage is little frightening, in practical terms, thousands of patients have it every month in south India and almost all of them are back to normal within a couple of days.
For this particular operation there is a wide choice. You can have a spinal anaesthesia (a needle in the spine) or an epidural anaesthesia (similar to spinal, but slightly different level of penetration) or you can have a general anaesthesia. Any of these three will be good enough for the removal of a bladder tumor.
No, unfortunately it is not possible as your uncle probably delayed treatment to long. The bladder tumor might have gone through the wall, and involved neighbouring organs. In such a situation either through laparoscope or through a cut, the entire bladder and surrounding cancerous tissues have to be removed. In this situation, the ureters, or the pipes that bring the urine from the kidney to bladder, need to be diverted to the surface and the urine will consequently be coming out from the surface of the abdomen, into a bag. The chances are that once this is done, it cannot be reversed. As I mentioned earlier the best thing is to avoid such a situation and have the bladder tumor out as soon a possible through a keyhole (TRUBT).
Dr. Ilamparuthi Chennakrishnan
GENITO- URINARY SURGEON
M.B.B.S., M.S. (General surgery), M.Ch. (Urology), D.N.B. (GUS), F.I.C.S.