Patient Urological Surgery Instructions

For your convenience, we have made some of our more commonly used patient urological surgery instructions available for review online. Please contact our office if you have questions about any of the information presented here.

Transurethral Surgery Post-operative Information

You have just undergone transurethral surgery. During this procedure, a thin telescope-like tool is used to see tissues within the body.

This may have been done as part of one of the following:

Bladder Biopsy or Transurethral Resection of Bladder Tumor

A telescope is used to enter the bladder and sample abnormal tissue. The amount of tissue removed may be as small as the tip of a pen or as large as an apple. The base of the removed tissue is electrocauterized (burnt) to prevent bleeding. There are no incisions in the skin.

Transurethral Resection of Prostate

A telescope is used to enter the bladder and remove an obstructing prostate from the inside out. The capsule of the prostate and a fair amount of prostatic tissue remains. The base of the removed tissue of electrocauterized (burnt) to prevent bleeding. There are no incisions in the skin.

Transurethral Resection of Bladder Neck

A telescope is used to enter the bladder and remove an obstructing bladder neck contracture (often done for scar tissue found after prostatectomy and worsening leakage after the operation is common) or high bladder neck (leakage not expected if the prostate is still in place) from the inside out. The base of the removed tissue of electrocauterized (burnt) to prevent bleeding. There are no incisions in the skin.

Sphincterotomy

A telescope is used to enter the urethra and identify the external urethral sphincter. This muscles that blocks outflow of the bladder is cut. This operation is usually only done in people with neurogenic dysfunction of the bladder. The idea of the operation is to allow the bladder to empty on its own (leak) at safe pressures.

Botox Injection to the Bladder

A telescope is used to enter the bladder. Botox is injected into the muscle wall of the bladder in 10-30 tiny injections. The bladder is relaxed and sometimes paralyzed by the injection, and you may need to catheterize yourself to empty.

External Urethral Sphincter

This procedure is performed to support the innermost part of the vagina if it is protruding after a hysterectomy. This can be done by a vaginal or abdominal incision (staples if present are due for removal at 10 days).