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TURBT Risks and Complications: Explained

Transurethral resection of bladder tumor (TURBT) is a common surgical procedure used to diagnose and treat bladder cancer. While TURBT can be an effective treatment option, it is essential to understand the potential risks and complications associated with this procedure.

In this blog post, we will explore the various risks and complications that may arise before, during, or after TURBT surgery to help you make informed decisions about your healthcare.

Risks of TURBT

Like any surgical procedure, TURBT carries inherent risks that patients should be aware of before undergoing the surgery.

  • Bleeding: TURBT involves the removal of abnormal tissue from the bladder, which can lead to bleeding during or after the procedure.
  • Infection: There is a risk of developing a urinary tract infection or a more severe infection following TURBT surgery.
  • Bladder perforation: In rare cases, TURBT can cause a perforation in the bladder wall, which may require additional treatment.
  • Urinary retention: Some patients may experience difficulty urinating after TURBT, which may require catheterization to drain the bladder.

Complications after TURBT

In addition to the risks mentioned above, TURBT can also lead to various complications after the surgery. It is crucial to be aware of these potential complications to monitor your health effectively post-surgery.

  • Recurrence of bladder cancer: Despite the removal of cancerous tissue during TURBT, there is a risk of the cancer returning in the bladder.
  • Urinary incontinence: Some patients may experience difficulty controlling their bladder function after TURBT, leading to urinary incontinence.
  • Scar tissue formation: TURBT can cause the formation of scar tissue in the bladder, which may interfere with normal bladder function.
  • Changes in bladder capacity: Following TURBT, some patients may experience changes in their bladder capacity, leading to increased frequency or urgency of urination.

Side effects of TURBT

Apart from the risks and complications associated with TURBT, patients may also experience various side effects following the procedure. While these side effects are usually temporary, they can still impact a patient's quality of life in the short term.

  • Blood in the urine: It is normal to experience blood in the urine for a few days after TURBT due to the removal of abnormal tissue from the bladder.
  • Pain or discomfort: Patients may experience pain or discomfort in the lower abdomen or pelvis following TURBT, which can be managed with pain medication.
  • Frequent urination: Some patients may experience an increased frequency of urination or a sense of urgency to urinate following TURBT.

TURBT surgery complications

While TURBT is generally considered a safe procedure, it is essential to be aware of the potential complications that may arise during the surgery itself.

These complications can range from minor issues to more severe problems that require immediate medical attention.

  • Anesthesia complications: TURBT is performed under general anesthesia, which carries risks such as allergic reactions or breathing difficulties.
  • Fluid imbalance: During TURBT, fluids are used to irrigate the bladder, which can lead to fluid imbalance in the body if not properly managed.
  • Blood clot formation: There is a risk of developing blood clots in the legs or lungs during TURBT surgery, especially in patients with pre-existing conditions that increase clotting risk.

In conclusion, while TURBT is a common and effective procedure for diagnosing and treating bladder cancer, it is essential to understand the potential risks, complications, and side effects associated with the surgery.

By being informed about these factors, patients can work closely with their healthcare providers to mitigate risks and ensure a successful recovery.

If you have any concerns or questions about TURBT, do not hesitate to discuss them with your healthcare team for personalized guidance and support.

 

Frequently Asked Questions

What are the common risks and complications of TURBT surgery?

Common risks and complications of TURBT surgery include bleeding, infection, bladder perforation, and recurrence of bladder tumors.

Can TURBT lead to bladder perforation or injury?

Yes, TURBT can lead to bladder perforation or injury if not performed carefully. It is a known risk associated with the procedure that should be discussed with your healthcare provider.

What is the risk of bleeding during or after TURBT surgery?

The risk of bleeding during or after TURBT surgery is low but possible. Your healthcare team will monitor you closely to manage any bleeding that may occur.

How can infection be prevented after TURBT surgery?

Infection after TURBT surgery can be prevented by taking prescribed antibiotics, maintaining good hygiene, and following post-operative care instructions closely.

Is there a risk of tumor recurrence after TURBT?

Yes, there is a risk of tumor recurrence after TURBT, which is why regular follow-up appointments and monitoring are crucial for early detection and treatment.

Can TURBT surgery lead to incontinence or other bladder issues?

Yes, TURBT surgery can potentially lead to temporary incontinence or other bladder issues as risks and complications associated with the procedure.

What are the potential complications related to anesthesia during TURBT?

Complications related to anesthesia during TURBT include allergic reactions, respiratory issues, blood pressure changes, and rare but serious events like heart problems.

How can TURBT surgery affect sexual function?

TURBT surgery can potentially impact sexual function by causing erectile dysfunction or retrograde ejaculation due to damage to nerves or muscles in the bladder area.

Can TURBT surgery cause scarring or narrowing of the urethra?

Yes, TURBT surgery can potentially cause scarring or narrowing of the urethra, leading to urinary issues. It is important to discuss this risk with your healthcare provider.

How are complications typically managed after TURBT surgery?

Complications after TURBT surgery are managed with close monitoring, pain management, antibiotics if needed, and follow-up care to ensure proper healing and recovery.