Surgical Management of Bladder Carcinoma

Rafael Carrion, MD, John Seigne, MB

Disclosures

Cancer Control. 2002;9(4) 

In This Article

Complications of Transurethral Resection of Bladder Tumor

The size of the tumor and the aggressiveness of the resection determines the postoperative management and risk of complications following a transurethral resection of bladder tumor (TURBT). The majority of patients who have a resection of a small superficial tumor can be discharged without a catheter on the day of surgery (Fig 1). A patient who undergoes an extensive resection down to perivesical fat may require 24 to 48 hours of hospitalization with a Foley catheter remaining in the bladder for 4 to 7 days. The most common complication of TURBT is bleeding that requires clot irrigation with a reoperation rate of <2%. Intraperitoneal bladder perforation requiring emergency laparotomy is rare, occurring in <1% of patients.[12]

Figure 1.

Endoscopic appearance of a superficial bladder tumor prior to (A), during (B), and following (C) TURBT. Endoscopic views: (A) superficial bladder tumor, (B) superficial bladder tumor about to be resected using an electrocautery loop (TURBT), (C) base of the tumor following resection.

Figure 1.

Endoscopic appearance of a superficial bladder tumor prior to (A), during (B), and following (C) TURBT. Endoscopic views: (A) superficial bladder tumor, (B) superficial bladder tumor about to be resected using an electrocautery loop (TURBT), (C) base of the tumor following resection.

Figure 1.

Endoscopic appearance of a superficial bladder tumor prior to (A), during (B), and following (C) TURBT. Endoscopic views: (A) superficial bladder tumor, (B) superficial bladder tumor about to be resected using an electrocautery loop (TURBT), (C) base of the tumor following resection.

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