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TURBT (Transurethral Resection of Bladder Tumor)

Endoscopic resection of bladder tumor.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is TURBT (Transurethral Resection of Bladder Tumor)?

TURBT (Transurethral Resection of Bladder Tumor) is the endoscopic resection of bladder tumor via the urethra using a cystoscope. It is both diagnostic (histopathological grading and staging) and therapeutic in non-muscle-invasive tumors.

Resection depth must include the muscularis propria; this is mandatory for accurate staging. The en-bloc resection technique allows the tumor to be removed as a whole, increasing staging accuracy.

In non-muscle-invasive bladder cancer (Ta, T1, CIS), recurrence risk is reduced after TURBT with intravesical chemotherapy (mitomycin C) or BCG immunotherapy.

Symptoms

Painless macroscopic hematuria (most common presentation of bladder cancer)
Bladder tumor detected on cystoscopy
Irritative lower urinary tract symptoms
Suspicion of carcinoma in situ (CIS)
Bladder tumor recurrence follow-up

Risk Factors

Bladder perforation (1-5%)
Bleeding (intra- and post-operative)
Obturator nerve reflex (in lateral wall tumors)
Urinary infection
Tumor recurrence (60-70% after a single TUR)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Urgent evaluation when blood is seen in the urine (painless hematuria)
  • If excessive bleeding or clotted urine occurs after TURBT
  • If abdominal pain and distention develop after TURBT (suspicion of perforation)
  • Periodic cystoscopic surveillance during bladder cancer follow-up

Treatment Methods

01
TURBT (monopolar or bipolar resectoscope)
02
En-bloc TURBT (with laser or electricity)
03
Postoperative early intravesical chemotherapy (mitomycin C, within 6 hours)
04
Intravesical BCG immunotherapy (in high-risk NMIBC)
05
Re-TUR (after 6 weeks, in T1 and high-grade tumors)

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.