Transurethral Resection of Bladder Tumor (TURBT) Procedure

minimally invasive surgical procedure to remove bladder tumors via the urethra; used to dx, stage, and tx NMIBC

what is TURBT

Primary or recurrent bladder tumors

Non-muscle-invasive bladder cancer (Ta, T1)

Hematuria of unknown origin when tumor suspected

what are the indications for TURBT

list the contraindications for TURBT

Active UTI

Coagulopathy or uncontrolled bleeding disorders

Extensive muscle-invasive disease requiring radical surgery

before getting TURBT, what preparation is needed?

urinalysis

urine culture

blood test CBC

imaging PRN u/s CT urography

what kind of scope is used

resectoscope

how do doctors resect the tumor

using an electrical loop

where is the tissue sent to for grading and staging

histopathology

what is an optional procedure that can be done alongside TURBT

intravesical chemotherapy

potential complications of TURBT

hematuria

bladder perforation

UTI

urinary retention

recurrence of tumor

T/F: TURBT is only diagnostic

false, TURBT is both diagnostic and therapeutic for bladder tumors

why is follow-up so critical with TURBT

high recurrence rates

list the follow-up procedures

cystoscopy

intravesical therapy

imaging