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Most patients have superficial cancer when they are first diagnosed, so this is usually their first treatment.Some people might also get a second, more extensive TURBT as part of their treatment.
This is also the most common treatment for early-stage or superficial (non-muscle invasive) bladder cancers.
This can often be done using local anesthesia (numbing medicine) in the doctor’s office. When bladder cancer is invasive, all or part of the bladder may need to be removed. Partial cystectomy: If the cancer has invaded the muscle layer of the bladder wall but is not very large and only in one place, it can sometimes be removed along with part of the bladder wall without taking out the whole bladder. Nearby lymph nodes are also removed and examined for cancer spread.
Only a small portion of people with cancer that has invaded the muscle can have this surgery.
You can usually return home the same day or the next day and can resume your usual activities within a week or two.
Even if the TURBT removes the tumor completely, bladder cancer often comes back (recurs) in other parts of the bladder. But if TURBT needs to be repeated many times, the bladder can become scarred and lose its capacity to hold much urine.
You can usually go back to your normal activities after several weeks.
In some cases, the surgeon may operate through several smaller incisions using special long, thin instruments, one of which has a tiny video camera on the end to see inside the pelvis.The main concern with this type of surgery is that bladder cancer can still recur in another part of the bladder wall.Radical cystectomy: If the cancer is larger or is in more than one part of the bladder, a radical cystectomy will be needed.Surgery is part of the treatment for most bladder cancers.The type of surgery done depends on the stage (extent) of the cancer.Typically, these procedures are done through a cut (incision) in the abdomen.