Transurethral Resection of Bladder Tumour (TURBT)

Prof Lawrentschuk performs this surgery using the da Vinci robotic system, which provides enhanced precision, visual clarity, and control. It is important to note that the robotic system does not operate autonomously; all movements are directed entirely by Prof Lawrentschuk from a console.

Once the bladder is removed, a new way for urine to exit the body must be created. This is usually achieved using a segment of bowel, forming either an external stoma (ileal conduit) or an internal reservoir (neobladder).

A TURBT is performed to:

• Confirm the tumour is cancer.
• Get more information about the cancer (could include how aggressive and advanced it is)
• Remove the cancer to prevent it from getting worse.
• Prevent side effects such as bleeding.

Most patients are discharged the same day, although some may require an overnight stay depending on individual circumstances.

• A urinary catheter may be placed during the procedure to help drain the bladder. If required, it is usually removed within a day or two.
• You will be encouraged to drink plenty of fluids to flush out the bladder.

Before leaving hospital, the nursing team will provide you with instructions on caring for yourself at home. Ensure you have someone to take you home as you will not be able to drive.

You should plan to rest at home for at least 5–7 days after your procedure. During this time, avoid strenuous activity, heavy lifting, and vigorous exercise.

It is common to notice some blood in the urine for up to two weeks. The urine colour may range from dark red to light pink and should gradually clear. To aid with flushing out the bladder, please ensure you are drinking plenty of water.

Some patients may also experience:

• Burning or stinging with urination
• Urinary urgency or frequency
• Small blood clots in the urine
• Mild discomfort in the lower abdomen or bladder area

These symptoms usually resolve with time. Ensure you follow all post-operative care instructions provided by your medical team/Prof Lawrentschuk. You should be able to resume light activities a week after the procedure, depending on whether you feel comfortable.

In some cases of aggressive bladder cancer, further treatment may be required. This may include pharmacological approaches, such as:

• Chemotherapy or immunotherapy that is administered directly into your bladder (intravesical therapy).
• Chemotherapy, radiation therapy, and/or immunotherapy.

Prof Lawrentschuk may also discuss additional surgical options, which could include:

• Performing another TURBT to make sure the bladder cancer has been completely removed.
• Surgery to remove your bladder (cystectomy).

• Heavy bleeding (bright red) or large clots in the urine that do not resolve with increased hydration.
• Inability to urinate.
• Fever above 38°C, chills, or severe abdominal pain.
• Persistent or worsening burning or pain with urination.