Definition of surgery tour on the urinary tract

Cancer of urea today is more and more common in the male population, at risk are those people who smoke a lot. Doctors have proven that it is the addiction to nicotine that causes the development of the oncological process. If suddenly the pathology somehow manifests itself, urgent medical attention is needed. Most often, specialists make the decision to conduct surgical care - TUR of the bladder.

What is surgical care

How is TUR of the bladder performed and what is it? This surgical intervention is due to the examination of the inner part of the surface. During the tour, you can take tissue for a biopsy or perform excision of an oncological formation.

The operative solution tour of urea is the primary therapeutic therapy for the occurrence of cancers. The procedure is performed in order to remove tissue and malignant tumors.

The advantages of the operational technique include:

• minimal tissue trauma in the organ;
• reduced risk of bleeding;
• low probability of an outbreak of an infectious process;
• rare cases of complications;
• stability of the patient's condition.

The application of the tour is indicated for the excision of tumor formations of various origins in the structure of the urea.

What is the tour for

Indications for resection are:

• excision of urea tumors;
• study of a neoplasm (specificity of tumors, severity of damage) - this is an important nuance for the appointment of subsequent therapy;
• general diagnosis for concomitant diseases, examination of the urea cavity for the occurrence of a tumor process;
• taking material for analysis, the need to study the material to identify cells of a malignant nature.

How to prepare for the procedure, who is contraindicated in the tour

If cancerous neoplasms are diagnosed in the bladder, a comprehensive diagnosis is prescribed. The attending physician collects all information about the pathology that has arisen, and also determines the degree of its development.

Initial examination involves rectal palpation in men and vaginal examination in women. On examination, the doctor determines the size of the tumor and the stage of the lesion of the urethra cavity.

Additional research assignments:

• cystoscopy;
• biopsy;
• urine culture;
• pyelography (intravenous);
• cytological examination.

If a neoplasm is detected on time, then it will not take much effort to excise it. The first sign of the development of the disease is the manifestation of blood in the urine.

The degree of organ damage is diagnosed using a digital scale of 0-4. With a low rate, a smaller area of organ damage by malignant tumors is diagnosed.

Unfortunately, very often those patients in whom the cancer process has passed on to other organs of the urinary system turn to specialists. If such pathological processes take place, then it is recommended to undergo magnetic resonance imaging (computed tomography).

In order for the specialists to conduct the tour, the patient must sign a written agreement that he gives his consent to the provision of operational assistance. Before this, the specialist explains to the patient why he needs such operational support, how it will proceed, and what consequences may occur after surgery.

Like any other operative solution, the tour has its own contraindications:

• chronic pathologies of other organs of severe course (renal or hepatic failure, cardiovascular diseases);
• infectious diseases;
• pathological processes of the urinary and genital area.

Performing transurethral resection of the urethra

Before the tour, the patient lies on the operating table with legs apart and knee joints bent. A resectoscope (surgical instrument) is inserted through the urethra (through it). Operational assistance is carried out under the strictest control.

The resectoscope is intended for excision of tumor formations and cauterization of blood vessels that are bleeding. In some cases, it may be necessary to carry out several interventions. With small tumors (no more than 1 cm), the formation itself and the deep layer of tissue located next to the tumor can be removed at a time.

Larger tumor sizes are eliminated in several sessions. Initially, the neoplasm is excised. In the next step, the surrounding tissue is removed. If a biopsy is required, then tissue fragments are taken from the desired areas of the organ. The material is sent for research to a morphologist.

Postoperative recovery

The postoperative period is very important for the patient's future health. If you do not adhere to the recommendations of experts, you can provoke a number of negative consequences.

After the tour of the bladder, a special system is installed that performs the function of continuous irrigation with furacilin or another solution. When the flushing fluid enters the urinary tract through the catheter, disinfection occurs. Catheterization with flushing is designed for several hours, in some cases, irrigation is extended up to three days.

If, three hours after surgery, the patient does not have a gag reflex and nausea, then he is allowed to drink liquid. The patient can not have a lot of water, about a liter and a little more. Eating is allowed the day after the bladder tour.

For a week or 10 days, the strictest dietary regime is observed. Smoked, fatty, fried, salty foods are prohibited. The drinking regimen is observed up to three liters per day. You can drink ordinary water, green tea, fruit drink, juice from liquids.

A dietary table is recommended by a nutritionist, if the patient has special features, then his menu is slightly different from the main diet. The doctor prescribes antibiotic therapy for 7-14 days.

After removal of the catheter, the color of the urine may be light or bloody. It is allowed to visit the toilet frequently, but in small portions.

The first time recovery can have distinctive symptoms:

• cuts in the urethral canal;
• increased urge;
• burning sensation during outflow of urine.

These symptoms disappear on their own within a week. Traces of blood in the urine are observed during the first three weeks after the operation, the patient is already at home at this time. If such phenomena take place, then a man should consume more water and exclude all physical activity, even minor ones. When this kind of bleeding does not stop for a month, you need to seek medical help.

The biopsy result is usually ready 3-5 days after the sample was taken. Decoding and diagnosis are done by the attending physician.

If a malignant tumor is found, the specialist may prescribe additional treatment. For example, the instillation of a medication into the urea cavity. Sexual activity is prohibited for 21 days.

Possible complications

Despite the safety and ease of surgical intervention tour, patients are still subject to some consequences, some of them are even dangerous to life and general health. The risk of consequences arises due to the characteristics of the organism and the oncological process.

In some patients, the consequences of anesthesia are possible, the anesthesiologist advises about this.

The following complications are possible after transurethral resection:

• the onset of prostatitis;
• sepsis;
• an outbreak of acute pyelonephritis;
• injury to adjacent organs;
• profuse blood loss;
• tumor recurrence.

Some patients report a narrowing of the urine channel, which prevents the normal outflow of urine.

Basically, surgery is easily tolerated by patients, with the right tactics, men quickly return to their normal life.

What Doctors Postoperative Forecasts Talk About

The result of the operation largely depends on the existing process of the disease, complications before the procedure and the postoperative period, the patient's age and general well-being, the chosen surgical technique.

If a patient has superficial urea cancer, then in most cases (85%) men can live at least 5 years after the tour. With more invasive tumors, the survival rate for men is halved.

The most important rule for all patients is the unquestioning adherence to all medical recommendations and prescriptions. The use of folk remedies, as an additional therapy, is discussed with the attending physician.