Transurethral electrocautery of bladder tumors

1. Single-shot vesicular papilloma infiltrates superficial, pedicle length, diameter less than 1cm, located in the trigone of the bladder, lateral fossa, and bottom without infection. 2. Recurrent papilloma after partial resection of the bladder, less than 1 cm in diameter. Treatment of diseases: bladder cancer bladder cancer Indication 1. Single-shot vesicular papilloma infiltrates superficial, pedicle length, diameter less than 1cm, located in the trigone of the bladder, lateral fossa, and bottom without infection. 2. Recurrent papilloma after partial resection of the bladder, less than 1 cm in diameter. Contraindications 1. The papilloma of the bladder is larger than 1 cm in diameter and multiple in the top of the bladder, the anterior wall and the neck of the bladder. 2. Bladder papilloma with acute hemorrhage, difficult to observe in the cystoscopy. 3. Papilloma in the bladder spasm. Preoperative preparation 1. Control bladder infection. Those with bleeding should be treated after the bleeding stops. 2. Prepare the electrocautery device, including an electrocautery that can generate 3 million times of high frequency current per second, a pointed electric burner that can burn the local tissue and a lead electrode plate placed under the patient's hip. 3. Wash a large amount of sterile water for the bladder. Surgical procedure In the lithotomy position, the urethra was probed with a large metal probe, and then the F24 cystoscope was inserted, and the tumor site, size, and number were carefully observed; the electrocautery was inserted through the surgical microscope, and electrocautery was performed on the tumor base and the surrounding area to make the eschar. During the electrocautery process, it is necessary to constantly change the water to avoid excessive water temperature in the bladder and damage the mucosa. When the electrocautery is completed, the sediment in the bladder irrigation solution is taken for sectioning, and finally the thiophene is injected through the catheter. complication 1. The blood coagulation mechanism has serious obstacles. 2. The patient is too old and should be filled with poor general condition.

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