Transurethral resection of bladder tumor

Transurethral resection of bladder tumor
Anesthesia type	GA or Neuraxial
Airway	ETT/LMA (if GA)
Lines and access	PIV x 1
Monitors	Standard
	Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
	Article quality
Editor rating	In development
User likes	0

A transurethral resection of bladder tumor (TURBT) is an endoscopic procedure used to diagnose, stage, and treat early tumors of the bladder. A resectoscope is passed into the bladder via the urethra and used to remove visible tumor.

Preoperative management

Patient evaluation


System	Considerations
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Labs and studies

Operating room setup

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

Induction and airway management

Positioning

Lithotomy

Maintenance and surgical considerations

Stimulation of the obturator nerve during resectoscope passage into the urethra can cause a significant reflect, even while under GA. To avoid this reflex, muscle relaxation is often used. However, studies^[1] have shown that TIVA with LMA is a safe, reliable, and controllable method for maintenance of anesthesia with blunting of the obturator reflex.

Emergence

Postoperative management

Disposition

PACU

Pain management

Potential complications

Bladder perforation (most serious complication)
Urethral rupture or false passage
Bleeding
Reabsorption

Procedure variants


	Variant 1	Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications

References

↑ "Total intravenous general anesthesia with laryngeal mask airway for transurethral resection of bladder tumor". Journal of Medical Colleges of PLA. 22 (4): 234–237. 2007-08-01. doi:10.1016/S1000-1948(07)60047-1. ISSN 1000-1948.

Top contributors: Barrett Larson, Chris Rishel and Tony Wang

[1] "Total intravenous general anesthesia with laryngeal mask airway for transurethral resection of bladder tumor". Journal of Medical Colleges of PLA. 22 (4): 234–237. 2007-08-01. doi:10.1016/S1000-1948(07)60047-1. ISSN 1000-1948.

[1]