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Typically, these procedures are done through a cut (incision) in the abdomen.
You will need to stay in the hospital for about a week after the surgery.
This surgery is done using an instrument put up the urethra, so it doesn’t require cutting into the abdomen.
You will get either general anesthesia (where you are asleep) or regional anesthesia (where the lower part of your body is numbed).
Some people may have side effects such as frequent urination, or even incontinence (loss of control of urination).
In patients with a long history of recurrent, non-invasive low-grade tumors, the surgeon may sometimes just use fulguration to burn small tumors that are seen during cystoscopy (rather than removing them).
Any remaining cancer may be treated by fulguration (burning the base of the tumor) while looking at it with the cystoscope.
Some people might also get a second, more extensive TURBT as part of their treatment.
You can usually go back to your normal activities after several weeks.
In some cases, the surgeon may operate through several smaller incisions using special long, thin instruments, one of which has a tiny video camera on the end to see inside the pelvis.
The main concern with this type of surgery is that bladder cancer can still recur in another part of the bladder wall.
Radical cystectomy: If the cancer is larger or is in more than one part of the bladder, a radical cystectomy will be needed.