Transurethral resection of bladder tumor
GA or Neuraxial
ETT/LMA (if GA)
|Lines and access||
PIV x 1
|Primary anesthetic considerations|
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.
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Monitoring and access
Induction and airway management
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 have shown that TIVA with LMA is a safe, reliable, and controllable method for maintenance of anesthesia with blunting of the obturator reflex.
- Bladder perforation (most serious complication)
- Urethral rupture or false passage
|Variant 1||Variant 2|
- "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.