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Postoperative Instructions for Cystoscopy and Transurethral Bladder Tumor Resection (TURBT)

Bladder symptoms

You may have a chemotherapy agent called anti-tumor medication in the bladder for one hour after surgery. This can help decrease the risk of recurrence of bladder cancer. It will be drained before you go home. You may have a catheter in place for several days to allow the bladder time to heal. It is important to keep the catheter well secured to the leg and avoid any tugging on the catheter. It is normal to blood, debris and small blood clots in the urine for one to two weeks after surgery. You may feel burning and stinging with urination for the first several weeks after surgery. It is also common to have more frequent urination and a greater sense of the urge to urinate.

Diet

After anesthesia, begin with clear liquids. Avoid any heavy meals on the day of the procedure. You may slowly resume your normal diet. Drink plenty of water. The more blood you see in the urine, the more water you should drink to flush the system and keep clots from forming.

Activity

Avoid strenuous activity or heavy lifting until the blood in the urine has cleared for several days. Then slowly resume your normal activity. You may shower.

Medication

You can obtain good pain relief by taking acetaminophen (Tylenol) every four hours while awake for the first several days. You will also get a prescription for pain pills. You can use these prescription pain pills in addition to acetaminophen every four hours. Do not exceed 4000 mg acetaminophen per day. You may also place a heating pad over the bladder to ease postop discomfort. Take plenty of fiber, water and over the counter stool softener to avoid straining for bowel movements or constipation. Avoid aspirin or ibuprofen compounds, such as Advil, Nuprin, Motrin, Bufferin, etc. until the blood in the urine has cleared for several days.

Postoperative plan

Call the office to make an appointment in 7 to 10 days if you do not already have a postop appointment. Call the office for fever over 101°F or inability to urinate.

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