Transurethral resection of the bladder (TUR)

Transurethral resection of the bladder (TUR) is one of the most commonly used surgical methods for treating bladder diseases, including cancer. TUR is a minimally invasive procedure that allows tumors to be removed without open surgery. This approach is particularly relevant for men, as bladder cancer is more often diagnosed in the male population.

At the N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – branch of the National Medical Research Radiological Centre of the Ministry of Health of Russian Federation, unique methods and organ-preserving surgeries in uro-oncology are applied, including bladder TUR. To schedule a consultation with a specialist, please call +7 (499) 110-40-67 or use the online request form.

Indications for TUR of the Bladder

The indications for transurethral resection of the bladder may vary. The main factors determining the need for surgery include:
• benign tumors (polyps)
• malignant tumors (bladder cancer)
• urethral stenosis or obstruction that causes difficulties with urination.

The surgical approach depends on the diagnosis, the patient’s condition, and the characteristics of the disease. The most common method is electrocoagulation, which not only removes the tumor but also minimizes blood loss. In certain cases, laser resection is used, which provides high precision and reduces the risk of damage to surrounding tissues.

Contraindications

Although TUR is a widely used endoscopic procedure in modern urology, there are certain contraindications:
• General: severe comorbidities (e.g., cardiovascular diseases)
• Local: anatomical features of the urethra or limited access to the bladder
• Pregnancy The decision to perform bladder TUR is made after consultation with a specialist and completion of diagnostic studies.

Preparation for TUR of the Bladder

Proper preparation is important for a successful surgical outcome and rapid recovery. The preparation phase includes a full medical examination, consultation with a urologist, laboratory and imaging tests. Physicians also assess the patient’s overall condition, adjust current medications (anticoagulants are discontinued in advance), and provide dietary guidelines (food and liquids are restricted the night before surgery).

How the Surgery Is Performed

Bladder TUR is a key tool in modern urology for treating bladder tumors. It combines effectiveness with minimal invasiveness, ensuring faster recovery and high quality of life after surgery. During the procedure, the surgeon inserts a special instrument through the urethra into the bladder. Under video guidance, the doctor precisely locates the tumor and removes it. The operation usually lasts 30 to 90 minutes, depending on the complexity of the case. After the procedure, a urethral catheter is placed to drain urine, which helps ease the postoperative period.

Rehabilitation and Recovery

Recovery after bladder TUR is generally short, and most patients are able to return to normal life within a few days. However, it is essential to follow the doctor’s recommendations regarding activity restrictions.

Postoperative care may include:
• pain relief medications
• antibiotics to prevent infections
• scheduled follow-up visits for monitoring and early detection of recurrence.

Bladder cancer is considered a disease with a high risk of recurrence, making regular check-ups especially important. In some cases, a combined approach involving chemotherapy or immunotherapy may be required. Several factors influence the course of bladder TUR, including the size and location of the tumor and the overall clinical picture.