NAMNAM ConsultantsUrology OPD · Imphal, Manipur
Home › Bladder tumour & TURBT
Bladder Care · Imphal

Bladder tumours,
found early.

Blood in the urine is the most common early sign. Here is how bladder tumours are diagnosed, how TURBT removes them through the urinary passage, and why follow-up matters.

● Flexible cystoscopy in the OPD ● TURBT — no external cut ● Usually general anaesthesia ● Regular check cystoscopy
Dr. Nameirakpam Shantajit
Dr. Nameirakpam ShantajitMBBS (SPMC Bikaner) · MS Surgery & M.Ch Urology (RIMS Imphal) · MMC Reg. No. MNP 150
Inside the bladder

Endoscopic view of a bladder tumour being removed with the resectoscope loop during TURBT.

No cutDone through the urinary passage
GeneralAnaesthesia, in most cases
1–3 daysCatheter, usually a short stay
TestedTissue sent for biopsy to plan next steps
Warning Signs

Never ignore blood in urine

🩸

Even once, even without pain

Painless blood in the urine is the most common early sign of a bladder tumour. It can also come from infection or stones — but in adults it should always be checked. Read about blood in urine →

🔥

Burning or urgency

Irritation that doesn't settle with treatment for infection.

⏱️

Frequent urination

Needing to go often, sometimes with discomfort.

🚬

Higher risk

Smoking is the biggest risk factor; some chemical and dye exposure at work also adds risk.

Diagnosis

Finding the cause, step by step

Urine tests & ultrasound

Urine tests and an ultrasound (USG KUB) in the clinic during the same visit.

Flexible cystoscopy

A thin, flexible camera looks inside the bladder in the OPD, under local anaesthetic jelly — a few minutes, no admission.

CT scan if needed

A CT scan (CT urography) checks the kidneys and ureters as well, when advised.

The Operation

What is TURBT?

Transurethral resection of bladder tumour removes the tumour through the urinary passage using a resectoscope — there is no cut on the body. The tissue, including some of the muscle beneath it, is sent for testing. This both treats the tumour and tells us exactly what it is.

Diagram: a resectoscope inside the bladder removing a tumour from the side wall, with the obturator nerve running just outside the wall

Why TURBT is usually done under general anaesthesia

The obturator nerve runs just outside the side wall of the bladder. When a tumour sits on the side wall, the electric current from the resecting loop can stimulate this nerve and make the thigh jerk suddenly — the obturator jerk.

A sudden jerk at that moment can push the loop too deep into the bladder wall. Spinal anaesthesia does not stop this reflex. General anaesthesia with muscle relaxation keeps you completely still, so the tumour can be removed safely and completely.

For selected small tumours away from the side walls, other anaesthesia may be suitable — this is discussed with you and the anaesthetist beforehand.

After TURBT

1
Same dayCatheter with bladder washing; a single dose of medicine may be placed in the bladder to lower recurrence
2
Day 1–3Catheter removed once urine is clear; usually home
3
~1–2 weeksBiopsy report reviewed and the next step planned
4
3 monthsFirst check cystoscopy, then regular follow-up
After the Report

What happens next

The biopsy report decides the plan. Many bladder tumours are found early and are confined to the inner lining.

🔭

Regular surveillance

Bladder tumours can come back, so check cystoscopies are done at regular intervals — even after a clear result.

💉

Medicine into the bladder

For some tumours, a course of medicine (such as BCG or chemotherapy) is placed into the bladder through a catheter to reduce recurrence.

🔁

Second-look TURBT

In some cases a repeat TURBT a few weeks later is advised to make sure no tumour remains. Deeper tumours need further treatment, discussed in detail.

🚑

Go to the nearest hospital emergency if you have

  • Unable to pass urine, or a catheter blocked by clots
  • Heavy bleeding in urine with clots
  • Fever with chills after the procedure
WhatsApp numbers and the chatbot are not emergency services.
Questions

Frequently asked questions

Is every bladder tumour cancer?

Not every growth is cancer, but most bladder tumours need to be removed and tested. Many are found early, when they are confined to the inner lining and can be treated effectively.

Why is TURBT done under general anaesthesia?

The obturator nerve runs just outside the side wall of the bladder. Current from the resecting loop can stimulate it and cause a sudden leg jerk (obturator jerk), which can push the loop too deep. General anaesthesia with muscle relaxation keeps you still, so the tumour can be removed safely and completely.

Is there a cut?

No. TURBT is done through the urinary passage with a resectoscope. There is no external wound.

How long will I stay in hospital?

Usually 1–3 days. A catheter is kept until the urine is clear, and then removed before you go home.

Will the tumour come back?

Bladder tumours can recur, which is why regular check cystoscopies are important. Medicine placed into the bladder and stopping smoking both help lower the risk.

What is a check cystoscopy?

A short OPD test with a thin flexible camera to look inside the bladder, usually under local anaesthetic jelly. The first one is typically about 3 months after TURBT.

I saw blood in my urine once. Should I worry?

Yes, it should always be checked — even if it happened only once and was painless. Evaluation usually includes urine tests, an ultrasound, and often a cystoscopy or CT scan.

Book a consultation

NAM Consultants, Singjamei: mornings daily 6:00–9:30 AM (Mar–Oct) / 6:30–9:30 AM (Nov–Feb), evenings 4–6 PM Mon–Sat · Raj Medicity Hospital: Mon–Sat 11 AM–1 PM

Medically reviewed by Dr. Nameirakpam Shantajit, M.Ch Urology (MMC Reg. No. MNP 150) · Last reviewed: 10 October 2026

Just say "Hi" on WhatsApp+91 70850 51135 · Chatbot 24/7 · Book & queries Clinic WhatsApp81328 57130