TransUrethral Resection of Bladder Tumor (TURBT)
Guidelines for Your Care after Surgery
What is the purpose?
The surgery is done to remove small, shallow tumors from the inside surface of the bladder for
the treatment of non-invasive bladder cancer. It is also used to biopsy for larger or aggressive
How is it done?
The tumors can be removed through a probe passed up through a cystoscope. The tumors are
removed through the cystoscope and sent for microscopic exam. You should have the results in
5 to 7 working days. Your doctor will talk about the results with you.
During surgery, a Foley catheter is placed in your bladder to drain the urine. After surgery, your
urine may be bloody and there may be some clots in it. Continuous bladder irrigation (CBI) may
be needed to clear your urine if you have a lot of clots. With CBI, a special Foley catheter is used
to irrigate or flush the bladder continuously while your urine and the CBI fluid empty into a
drainage bag. If you are not able to urinate on your own after the Foley catheter has been
removed, you may need to go home with your catheter
What to expect after surgery
Your urine may be bloody, but it should clear 2 – 4 days after you are home. Blood in your urine
may last up to 4 – 6 weeks. You may have some irritation and burning with urination.
What to do
▪ Drink plenty of fluids, 10 – 12 (8-oz.) glasses per day.
▪ Take your pain medicine as prescribed, when needed.
▪ Get plenty of rest.
▪ Avoid letting your bladder get too full as this would increase the pressure in your bladder
and make you bleed more.
▪ Avoid straining and constipation; increased pressure can cause more bleeding. You can
prevent constipation by drinking fluids and adding fruit and vegetables to your diet. Stool
softeners or a mild laxative may be prescribed by your doctor.
You can go back to your normal routine in 3 – 4 weeks.
During the first week at home
▪ Do not lift anything weighing more than 5 – 10 pounds
▪ No strenuous activities (i.e. aerobics, jogging, swimming)
▪ Limit stair climbing to 1 – 2 times per day
▪ No sexual activity
▪ Do not drive until OK with your doctor
During the second week at home
▪ You may slowly increase your activity, but rest when you get tired.
▪ Do not overexert yourself.
▪ You may resume sexual activity after the second week.
▪ You may drive if you are not taking prescription pain medicine and if it is OK with your
You may return to work during the third week or when your doctor allows.
When to call your doctor
▪ You cannot pass urine
▪ Your urine becomes so bloody that you cannot see through it
▪ You have clots in your urine
▪ You have increased pain in your abdomen
▪ Your fever is over 100.5 θ F (orally) for two readings taken 4 hours apart
▪ You have severe burning, pain, and irritation with urination
UW Health Urology 608-263-4757
UW Health at The American Center Urology 608-440-6464
UW Health One South Park Urology 608-287-2900
After Hours, Nights, Weekends, and Holidays, the clinic number is answered by the paging
operator. Ask for the Urology Doctor on call. Leave your name and phone number with the area
code. The doctor will call you back.
Toll Free: 1-844-607-4800
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Your urology doctor is Dr. ______________________________________
The Spanish version of this Health Facts for You is #6526
Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 7/2015. University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#5312