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Turbt Procedure: What is a Turbt and How is the Procedure Performed

Types of Bladder Cancer Treatment

The presence of cancer cells in the bladder can lead to the formation of tumors. As a result, people with this condition will experience pain when urinating, lower back pain, and blood in the urine (hematuria). Without treatment, cancer cells can spread to tissues or organs around the bladder.

In order to prevent the severity of bladder cancer symptoms, doctors will usually recommend the following treatments.

 

Surgical removal of cancer

Surgical procedures are a common treatment for all types of cancer, including cancers affecting the urinary system. Well, there is this cancer treatment there are several techniques that doctors recommend.

 

TROUBLE

Bladder tumor transurethral resection (TURBT) or bladder turbt procedure, is the first-line treatment that aims to remove cancer cells and the tissue or muscle layer of the bladder wall.

This procedure uses a resectoscope that is inserted into the bladder through the urethra. At the end of the tool there is a wire that serves to lift suspicious nets or abnormal tumors. During the procedure, the doctor may perform a fulguration procedure, which is the destruction of cancer cells using a laser through a resectoscope.

The side effects of this treatment are a pain when urinating and bleeding. In some cases, doctors recommend TURBT many times, so that it can leave scars. This can make the bladder unable to hold urine as before.

 

Systemectomy

The next treatment for bladder cancer is a cystectomy, which is the removal of the bladder. This procedure is further divided into partial cystectomy (partial bladder removal) and radical cystectomy.

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Doctors generally recommend a partial cystectomy for cancer involving a small portion of the muscle layer of the bladder wall, while a radical cystectomy removes most or all of the bladder using radiation energy.

If you have a radical cystectomy, that means you will also need to have reconstructive surgery. The surgeon will create a new place to store urine. Not only the bladder, if cancer has spread then the doctor may recommend the removal of organs in other areas such as the prostate, seminal vesicles, body tract, uterus, or ovaries.

The risk of side effects that may occur after this surgery is performed include bleeding, infection, or blood clots in the legs.

 

Intravesical therapy

Intravesical therapy for bladder cancer is usually recommended by doctors after the TURBT procedure, within 6-24 hours afterward. The goal, to kill cancer cells that are still left behind from previous treatment.

In this treatment, the doctor inserts a liquid medicine directly into the bladder through a soft catheter in the urethra. However, you need to know that this treatment can only kill cancer cells that line the bladder. If it is outside of this area, the treatment has no effect. That means the drug cannot reach cancer cells in the kidneys, ureters, or urethra.

 

There are two types of intravesical therapy as a way to treat bladder cancer

Intravesical immunotherapy

Aims to increase the immune system’s resistance against cancer with BCG (Bacillus Calmette-Guerin). BCG itself is the germ that causes tuberculosis, which is inserted into the bladder with a catheter.

BCG will come into contact with cancer cells which then invite the immune system to fight both. After the injection, people with cancer may experience flu-like symptoms, such as fever, body aches, or fatigue for two to three days.

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Chemotherapy

Treatment for bladder cancer is actually the same as chemotherapy in general. The difference is, if it is included in the intravesical category, chemotherapy drugs are inserted directly into the bladder through a catheter, while general chemotherapy can be taken orally or injected directly into a vein.

Mitomycin is common drug doctors use for intravesical chemotherapy. This treatment process, along with the delivery of heat energy into the bladder, is known as electromotive mitomycin therapy. In addition to mitomycin, other chemotherapy drugs that doctors use to treat this cancer are gemcitabine and valrubicin.

Intravesical chemotherapy can cause side effects in the form of irritation, bleeding in the urine, and a burning sensation in the bladder.

 

Radiotherapy

This type of bladder cancer treatment relies on radiation energy to kill cancer cells. Usually, radiotherapy is an option if the patient cannot undergo surgery or chemotherapy. It can also be used as a complementary treatment to the previous treatment so that there are no more cancer cells left.

 

Possible side effects of Turbt Procedure

Turbt side effects or side effects of turbt surgery tend to be mild and usually don’t last for long. You might experience bleeding or pain in your urination after TURBT. You can typically return to your normal activities in a week or less.

Even if the tumor is removed completely by TURBT, bladder cancer can recur in other areas of the bladder. Another TURBT may be used to treat this condition. If TURBT is repeated several times, the bladder may become scarred and no longer be able to hold as much urine. Side effects include frequent urination or incontinence (loss of control of urine).

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Patients with a history of non-invasive, low-grade tumors (tumors that grow slowly) may be advised to have fulguration used instead of surgery. Local anesthesia, which is numbing medication administered in the doctor’s chair, can be used to do this. Although it is safe, it can be mildly uncomfortable.

 

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