Bladder Surgery

Bladder Surgery

TURBT

Transurethral resection of bladder tumour is a procedure where the urologist uses endoscopic equipment to remove tumours from the bladder wall using the naturally existing passageway through the lower urinary tract.

This procedure is quite common in the urological practice. For bladder tumours that are small and superficial (not very deep) this can be the only treatment required to cure the growth. The first resection of the tumour in all cases provides important and essential information about the tumour type, size, number, location, depth of invasion. These parameters have prognostic and treatment significance.
All bladder tumour patients require ongoing surveillance cystoscopies (bladder checks) and the schedule is dependent on their tumour characteristics.

Cystolitholapaxy

Cystolitholapaxy is a surgical procedure that involves treatment of bladder calculi.
Bladder calculi are usually as a result of poor bladder emptying. Other causes can be kidney stones that have passed into the bladder but remained there and gradually grew in size. Another cause is a foreign body in the bladder such as suture material, clips, mesh from previous surgery.

These stones harbour bacteria, cause infections and interfere with the normal function of the lower urinary tract.

In the past bladder stones were treated with open surgery, however nowadays this is rarely used. The endoscopic laser treatment is the preferred choice. There are no open cuts with this approach, all stone types and sizes can be treated and the recovery is much quicker – one day in hospital with a bladder catheter is pretty standard.

Diverticulectomy

Bladder diverticulae are pouches of mucosal lining that are pushed out between the muscle fibres of the bladder. These can be congenital or can develop later in life, usually in men due to high pressure voiding. When the diverticulae are quite large they can affect the bladder emptying, retain urine, which in itself is a risk factor for urinary tract infections. The bladder diverticulae can also have bladder cancer develop inside them.

Diverticulectomy is a procedure where the pouch is removed and the bladder shape and function restored. This can be done with an open, laparoscopic or robotic approach.

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