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International Patient CareBest Transurethral Resection of the Bladder Neck Surgery Hospital
At Medicover Hospitals, our urologists, with qualifications such as MS, DNB, and MCh, perform transurethral resection of the bladder neck using endoscopic techniques. This approach ensures smaller incisions and reduced blood loss, leading to a shorter hospital stay for patients.
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What is Transurethral Resection of the Bladder Neck?
Transurethral resection of the bladder neck is a surgical procedure involving the bladder neck, which is the area where the bladder connects to the urethra (the tube that carries urine out of the body). This procedure removes excess tissue to improve urine flow. It is performed using a resectoscope, a special instrument inserted through the urethra.
This surgery is needed when there is a blockage at the bladder neck, often due to conditions like benign prostatic hyperplasia (BPH) or scarring. If untreated, it can lead to urinary retention, infections, or kidney damage. Modern surgical approaches include laser therapy and electrocautery, which offer precision in tissue removal. These methods help in reducing recovery time and improving outcomes.
Transurethral Resection of the Bladder Neck Doctors Near You
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Complete Guide To Transurethral Resection Of The Bladder Neck
Everything you need to know about the procedure, preparation, and recovery
Transurethral resection of the bladder neck surgery Indications
Doctors recommend transurethral resection of the bladder neck when patients experience urinary issues that do not respond to conservative treatments. This procedure helps in relieving symptoms and improving urine flow.
Bladder Neck Obstruction
Patients may experience difficulty in urination, weak urine stream, or incomplete bladder emptying. Doctors find narrowing at the bladder neck on imaging tests. When medications and lifestyle changes do not alleviate symptoms, surgery is considered.
Recurrent Urinary Tract Infections (UTIs)
Frequent UTIs can cause burning sensation during urination and pelvic pain. Lab tests show persistent bacterial infections. If antibiotics and other treatments fail, surgery may be necessary to address underlying obstructions.
Chronic Urinary Retention
Patients often feel a constant urge to urinate but pass little urine. Ultrasound may reveal a significant amount of urine left in the bladder after voiding. Surgery is recommended when catheterisation and medications do not resolve the issue.
Bladder Stones
Symptoms include severe abdominal pain and blood in urine. Imaging tests confirm the presence of stones. If stones recur despite dietary changes and medications, surgical intervention is advised.
Severe Lower Urinary Tract Symptoms (LUTS)
Patients report frequent urination, urgency, and nocturia. Urodynamic studies show abnormal bladder function. When lifestyle modifications and medications are ineffective, surgery becomes a viable option.
How to Prepare for Transurethral Resection of the Bladder Neck?
Proper preparation for a Transurethral Resection of the Bladder Neck (TURBN) is crucial to ensure a smooth procedure and recovery. Following the guidelines helps minimise risks and complications.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements as advised by your doctor.
- Fasting: Fast for at least 6-8 hours before the procedure, as general anaesthesia is typically used.
- Bowel Preparation: Follow any specific bowel prep instructions given by your healthcare provider.
- Clothing: Wear loose, comfortable clothing on the day of the surgery for ease and comfort.
- Transport Arrangement: Arrange for someone to drive you home post-procedure, as you may feel drowsy.
- Medication List: Bring a list of all medications you are currently taking, including dosages.
- Hydration: Stay well-hydrated the day before the surgery, unless instructed otherwise.
- Smoking and Alcohol: Avoid smoking and alcohol for at least 24 hours before the surgery.
Transurethral resection of the bladder neck surgery (Step-by-Step)
This procedure is performed by urology specialists. It typically lasts between 30 to 60 minutes. It is usually done under general or regional anaesthesia.
- Preparation: The patient is positioned on the surgical table. Anaesthesia is administered to ensure comfort.
- Insertion of Resectoscope: A resectoscope, a thin tube with a camera and light, is gently inserted through the urethra. No external incisions are made.
- Visualisation: The camera transmits images to a monitor. This allows the surgeon to see the bladder neck clearly.
- Resection: Using a loop electrode, the surgeon carefully removes excess tissue from the bladder neck. This helps to improve urine flow.
- Control Bleeding: Bipolar cautery is used to seal blood vessels and control bleeding during the procedure.
- Completion: The resectoscope is removed. A catheter may be placed to help drain urine and allow healing.
- Recovery: The patient is moved to a recovery area. Monitoring continues as the anaesthesia wears off.
Who Performs Transurethral resection of the bladder neck surgery?
This surgery is performed by urologists. They specialise in the urinary tract and male reproductive organs. Urologists are trained to handle various conditions affecting these areas. They use specialised instruments and techniques to perform surgeries like transurethral resection of the bladder neck.
Recovery After Transurethral Resection of the Bladder Neck Surgery
Recovery from transurethral resection of the bladder neck surgery involves gradual healing and a return to normal activities. Patients can expect some discomfort initially, but following medical advice can aid a smooth recovery.
Day 1-3:
- Rest is crucial. Avoid strenuous activities.
- Expect some blood in urine. Drink plenty of water to help flush the bladder.
- Stick to a light diet. Include foods like curd, dal-rice, and soups.
Day 4-7:
- Gradually increase activity levels, but avoid heavy lifting.
- Continue with a balanced diet. Opt for soft foods like khichdi and moong dal.
- Monitor for any unusual symptoms.
Day 8-14:
- Most patients can resume work or school, depending on recovery progress.
- Maintain hydration and a nutritious diet.
- Avoid activities that strain the pelvic region.
Phase 3 (Week 3-4):
- Normal activities can usually be resumed, but listen to your body.
- Continue to avoid heavy lifting and high-impact exercises.
- Follow up with your doctor for a post-operative check-up.
When to Seek Urgent Help:
- Severe pain or persistent bleeding.
- Fever or signs of infection.
- Difficulty urinating or inability to pass urine.
Benefits of Transurethral resection of the bladder neck surgery
This procedure can help alleviate urinary symptoms and improve quality of life for patients with bladder neck obstruction.
- Symptom Relief: Reduces urinary frequency and urgency.
- Improved Flow: Enhances urine flow by removing obstructions.
- Minimally Invasive: Performed without large incisions, promoting faster recovery.
- Short Hospital Stay: Often allows for a quicker discharge compared to open surgery.
Risks and Complications of Transurethral resection of the bladder neck surgery
While generally safe, this surgery carries certain risks, as with any medical procedure.
- Common: Bleeding during or after the procedure.
- Common: Infection risk at the surgical site or urinary tract.
- Common: Temporary difficulty in urination post-surgery.
- Rare: Injury to surrounding tissues or organs.
- Rare: Scarring at the bladder neck, potentially requiring further treatment.
- Rare: Blood clots in the legs or lungs.
Cost of Transurethral resection of the bladder neck surgery
The cost of Transurethral resection of the bladder neck surgery at Medicover Hospitals ranges from Rs. 27,500 to Rs. 44,000, depending on the ward category chosen. The pricing is transparent, and we offer support for insurance and TPA, including CGHS, ESI, and major TPAs. A cashless facility is also available for your convenience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Transurethral resection of the bladder neck surgery cost at Medicover Hospitals?
The cost ranges from Rs. 27,500 to Rs. 44,000 across Medicover Hospitals, depending on the type of accommodation and care required.
2. Is Transurethral resection of the bladder neck surgery covered under health insurance at Medicover?
Yes, it is covered by CGHS, ESI, and major TPAs, offering cashless options. Please contact the hospital for current panel details.
3. Will I need a catheter after bladder neck surgery?
Yes, a catheter is often required temporarily to aid in urination post-surgery. It is usually removed within a few days.
4. Can bladder neck surgery affect urination?
Post-surgery, some patients may experience changes in urination, like urgency or frequency. These symptoms typically improve over time.
5. What foods should I avoid after bladder neck surgery?
Avoid spicy foods and caffeine to prevent bladder irritation. Opt for bland foods like dal-rice and khichdi for a smoother recovery.
6. Is incontinence common after bladder neck surgery?
Temporary incontinence can occur but often resolves with time. Pelvic floor exercises may help improve bladder control.
7. Will sexual function be affected after bladder neck surgery?
Some men may experience retrograde ejaculation, where semen enters the bladder. This is not harmful but can affect fertility.
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