After using the anaesthetic method decided by the patient and the anaesthesiologist, an operative endoscope (resectoscope) is inserted into the bladder through the urethra. The bladder is inspected and the visible lesion is excised to the intact bladder wall, removed, and a catheter is inserted into the bladder after careful haemostasis.
However, in some cases, when a small lesion is resected, the catheter is not inserted into the bladder. The removed lesion is then sent for histological examination.
According to the current stance of medicine, no doctor can guarantee the absolute safety of a surgical procedure and the complete success of the surgery. General risks of medical intervention, such as infections, post-bleeding, etc. may occur. After surgery, the previously removed lesion can recur, appear in other parts of the bladder, or narrow the urethra and, in the most severe case, puncture the bladder wall, necessitating immediate surgery. The chances of developing complications are greatly influenced by what previous bladder surgeries have taken place.
Other comorbidities, such as cancer, high blood pressure, obesity, diabetes, haemophilia, and hematopoietic diseases, can greatly contribute to the development of surgical complications. The development of complications is greatly influenced by your age. In general, however, the frequency of complications is negligible relative to the number of surgeries performed.
After the procedure, there may be mild pain around the bladder. The bladder catheter is removed the day after surgery or within 1 week at the latest. Medication should be used as directed by a doctor to prevent infections and reduce pain. Leaving the hospital is possible at the earliest on the day after surgery. Your doctor will inform you comprehensively about the further possibilities and course of the treatment.