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In patients with a long history of recurrent, non-invasive low-grade tumors, the surgeon may sometimes just use fulguration to burn small tumors that are seen during cystoscopy (rather than removing them).
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.
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But the remaining bladder may not hold as much urine, which means they will have to urinate more often.
The main concern with this type of surgery is that bladder cancer can still recur in another part of the bladder wall.
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In women, the ovaries, fallopian tubes (tubes that connect the ovaries and uterus), the uterus (womb), cervix, and a small portion of the vagina are often removed along with the bladder.
You might have some bleeding and pain when you urinate after surgery.
You can usually return home the same day or the next day and can resume your usual activities within a week or two.
After the tumor is removed, more steps may be taken to try to ensure that it has been destroyed completely.
Any remaining cancer may be treated by fulguration (burning the base of the tumor) while looking at it with the cystoscope.
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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.