Transurethral resection for bladder cancer

Bladder cancer is a type of tumor that begins in the tissue of the bladder, the sac-shaped organ located in the lower part of the abdomen that stores urine. Most bladder tumors begin in the cells that line the inside of the bladder (urothelium) and are known as urothelial carcinomas.

The main risk factors for developing bladder cancer include tobacco smoking, exposure to certain chemicals in the workplace or environment, recurrent urinary tract infections, a family history of bladder cancer, and previous radiation therapy to the pelvic area. .

Symptoms of bladder cancer may include blood in the urine (hematuria), frequent or urgent urination, pain or burning when urinating, and the need to urinate without being able to keep urine down.

Diagnosing bladder cancer usually involves a combination of medical history, physical examination, laboratory tests (such as urinalysis), and imaging tests (such as ultrasound, CT scan, or cystoscopy). To reach a definitive diagnosis, it is necessary to perform a Transurethral resection of the bladder (TUR of the bladder) after which the biopsied tissue is analyzed, thus giving an anatomopathological result.

It is important to note that bladder cancer is a treatable disease, especially if it is detected in early stages. Prognosis and survival vary depending on the stage at which the cancer is diagnosed and the type of treatment received. Regular urological follow-up and compliance with the treatment plan are essential for the proper management of bladder cancer.

What is bladder TUR?

Bladder TUR, also known as transurethral bladder resection, is an endoscopic surgical procedure used to diagnose and treat certain bladder pathologies, including early-stage bladder cancer.

During bladder TUR, an instrument called a resectoscope is used and inserted through the urethra into the bladder. The resectoscope has a small camera on the end, allowing the doctor to view the inside of the bladder. Through the resectoscope, specialized tools, such as cutting loops with a bipolar electrical current, are introduced to resect or remove diseased or tumor tissue.

The main goal of bladder TUR in cancer treatment is to remove superficial tumors from the bladder and obtain tissue samples for analysis in the laboratory (biopsy). Depending on the size and location of the tumor, it may be removed completely or a partial resection may be performed.

Bladder TUR is performed under general or regional anesthesia. After the procedure, there may be some discomfort or bleeding when urinating for a short time, but these symptoms usually resolve over time.

Why is transurethral bladder resection performed?

Transurethral resection of the bladder (TUR of the bladder) is performed for several purposes, and one of the main purposes is the diagnosis and treatment of early-stage bladder cancer. Below are the main reasons why bladder TUR is performed:

  1. Diagnosis of bladder cancer: Bladder TUR allows tissue samples (biopsies) to be obtained from the bladder for analysis in the laboratory. This helps confirm or rule out the presence of cancer and determine the type and grade of cancer, which is essential for establishing an appropriate treatment plan.
  2. Treatment of non-invasive bladder tumors: Bladder TUR is used to remove and treat superficial bladder tumors, which are those that have not invaded the deeper layers of the bladder or have spread to other organs. By removing tumors, the risk of tumor regrowth is reduced and survival is improved.
  3. Symptom control and relief: In cases of large or multiple tumors in the bladder, bladder TUR can relieve associated urinary symptoms, such as difficulty urinating, bleeding, or obstruction of urinary flow.

In summary, bladder TUR plays a critical role in the diagnosis and treatment of bladder conditions, especially early-stage bladder cancer. It allows tissue samples to be obtained for analysis, superficial tumors to be removed and symptoms to be controlled, thus contributing to improving the prognosis and quality of life of patients.

Why is bladder TUR recommended?

Transurethral resection of the bladder (TUR of the bladder) It is recommended in several cases due to its benefits and effectiveness in the diagnosis and treatment of various bladder conditions. Bladder TUR is performed through the urethra, without the need to make external incisions, making it a minimally invasive technique. This results in a lower risk of complications, less postoperative pain, and a shorter hospital stay compared to more invasive surgeries.

CL Da Vinci Cabecera

Advantages of TUR in bladder cancer

Transurethral resection of the bladder (TUR of the bladder) offers several advantages in the treatment of bladder cancer. Below are the benefits of transurethral resection:

  1. Effective and safe treatment of non-invasive tumors: Bladder TUR is highly effective in the treatment of superficial bladder tumors in early stages. It allows tumors to be removed precisely and completely, which helps reduce the risk of cancer recurrence and progression.
  2. Preservation of urinary function: Bladder TUR aims to eliminate tumors without significantly affecting urinary function. By preserving the structure and function of the bladder, patients are allowed to maintain better urination control and a more satisfactory quality of life.
  3. Less physical impact and faster recovery: Bladder TUR is a minimally invasive procedure that is performed through the urethra, without the need to make external incisions. This reduces trauma and physical impact compared to more invasive surgeries, resulting in a faster recovery and less post-operative pain.
  4. Accurate assessment of cancer stage and grade: During bladder TUR, tissue samples (biopsies) are obtained that allow an accurate evaluation of the stage and grade of the cancer. This is critical to determining the most appropriate treatment plan, including the need for additional therapies, such as intravesical therapy.

It is important to note that bladder TUR may have some limitations, especially in cases of larger tumors or more advanced stages of bladder cancer. In those cases, a combination of additional therapies may be necessary. The decision on the most appropriate treatment approach should be made in consultation with your urologist.

Urologists specialists in bladder cancer in Madrid

Our service is made up of several specialists especially dedicated to the treatment of oncological pathology such as bladder tumor. It should be noted that currently, Ruber Internacional is equipped with the most avant-garde technology for the treatment of this type of pathology, which allows us to offer cutting-edge therapeutic options.

We have advanced diagnostic equipment, such as high-resolution MRI, state-of-the-art computed tomography and ultrasound specialized in the urological area, which allow us to obtain detailed and precise images for the accurate detection and evaluation of the bladder tumor.

In addition, we have operating rooms equipped with cutting-edge technology to carry out transurethral resection of the bladder (TUR of the bladder) and other complex surgical interventions, such as robotic surgery with the Da Vinci Xi robot. Our specialists are highly trained and have extensive experience performing these procedures, ensuring maximum precision and safety.

Likewise, we have advanced oncological treatment options, such as intravesical therapy, which consists of the direct administration of medications into the bladder, and intensity modulated radiotherapy (IMRT) that allows precise irradiation of the tumor while minimizing damage to healthy tissues. surroundings.

We are proud to provide our patients with access to cutting-edge technologies, allowing us to offer personalized therapeutic options and improve outcomes in bladder tumor treatment. Our goal is to provide comprehensive, quality care, supported by technological innovation, to offer the best possible care to our patients.