Trasurethral Resection of the Bladder, Female

TURBT Transurethral Resection of Bladder Tumor, Female Procedure • PreOp® Patient Education

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Your doctor has recommended that you have a TURBT or Transurethral Resection of a Bladder Tumor.



Before we talk about the procedure, let’s review some information about your body and your medical condition.



The bladder holds urine until you release it.



It stretches like a balloon as it fills with urine. Muscle in the wall of the bladder works to push urine out of your body through your urethra.



Your surgeon has recommended a TUR-BT to remove a tumor from the lining of your bladder.  About half, or 1 in 2 bladder cancers are found early.

That means the tumor is still in the  lining of the bladder and hasn’t spread.



Bladder Cancer can be diagnosed at any age, but is most common in patients that are over 55 years old, men and are white



Bladder Cancer is most often linked to smoking and exposure to certain chemicals in the workplace



With a  TURBT , (or Transurethral resection of bladder tumor), a surgeon uses a scope to look at the bladder lining and remove the tumor.



A scope is an instrument with a light and camera.  It has a loop at the tip that can cut with heat energy.



The tumor is sent to a pathology lab for examination. Further treatment may be needed in the future, after this surgery for your cancer.  These plans are made if needed after the procedure and based on the final lab results.



Now let’s talk a little more about what happens during a TUR-BT.



To start, you are given anesthesia to keep you free of pain during the procedure.



You are positioned carefully.

An instrument with a camera, called a scope, is then gently inserted into the urethra to reach the bladder.

A numbing gel is used to help the scope glide easily.



Once the scope is inside the bladder, your doctor will fill your bladder with water or saline (pronounced say-leen)



Using the fiber-optic light and camera lens of the scope to see, your doctor will look carefully at the walls of your bladder.



The tumor is cut away from the bladder in small pieces using the loop.

Your surgeon uses suction to carefully remove those pieces from the bladder. 



The loop is also used to stop any bleeding that is seen.

After the surgeon makes a final inspection of the bladder the scope is removed.



A thin soft tube, called a Foley catheter may be placed in your bladder. 

This tube can be used to fill your bladder with chemotherapy as part of the procedure if needed.  This chemo or medication is used to prevent loose tumor cells from sticking to your bladder lining. 



Sometimes the foley is left in for a few days to keep your bladder empty for healing.  When it is time to be removed, the balloon is deflated and the tube easily slides out.



If your surgeon recommends chemo during the procedure, it will stay in your bladder for 1 hour.  The decision depends on the size, type and number of tumors removed.



This medicine will not make you feel sick.  You may have some bladder irritation from this.

Ask your doctor if this treatment is planned for you.



After surgery, tell someone on your care-team if you have unexpected pain, dizziness or trouble breathing.  You will have some discomfort but pain should improve with medication.



After you are discharged to home from surgery, you may feel well and have no problems. 



Some patients will have pain with urination, bladder spasms and frequent urination.



You may see blood and small blood clots in your urine for a few days, even in a few weeks as scabs heal in your bladder where the tumor was removed.



Risks of the procedure are damage to the bladder, nearby tissues, infection and bleeding.



Call your doctor if you cannot urinate, have a fever, worsening pain or bright red bleeding that doesn’t stop



Hospital admission, medication or surgery may be needed to fix some complications.  You may need to keep the catheter in for a longer time than expected



Be sure that you understand why this procedure has been recommended for you.



 All surgery and anesthesia have a small risk of serious injury or very rarely death, about 1 in 100,000



If you have questions about this procedure or need further information about alternatives, ask your surgeon.



This video is intended as a tool to help you to better understand the procedure that you are scheduled to have or are considering.  It is not intended to replace any discussion, decision making or advice of your surgeon.



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The PreOp® Radical Mastectomy

Radical Mastectomy Procedure • PreOp® Patient Education & Patient Engagement

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Patient Education Company

Your doctor has recommended that you have radical mastectomy. But what does that actually mean?



Radical Mastectomy is the removal of the breast and surrounding tissue. In most cases, mastectomy is required in order to remove cancerous tissue from the body.



The extent of tissue removed is determined by the amount of cancer present in your body.



A Radical Mastectomy is the most extensive form of breast cancer surgery. It calls for the complete removal not only of the breast, but also of the lymph nodes, as well as part or possibly all of the chest muscle that lies underneath the breast.



Lymph nodes are small junctions that join the vessels that make up the lymphatic system. The lymphatic system circulates a bodily fluid called lymph in the same way that the circulatory system carries blood.



Your doctor has recommended that you undergo a radical mastectomy because the cancer in your breast may have begun to move into the lymph nodes under your arm as well as into your chest muscle.



This procedure may result in the loss of some muscle strength in the arm on the effected side of the body and will permanently change the outward shape and appearance of your chest. So make sure that you ask your doctor to carefully explain the reasons behind this recommendation.



Your Procedure: - Patient Education Company



On the day of your operation, you will be asked to put on a surgical gown.



You may receive a sedative by mouth and an intravenous line may be put in.



You will then be transferred to the operating table.



In the operating room, a nurse will begin preparation by clipping or shaving your underarm.



The anesthesiologist will begin to administer anesthesia - most probably general anesthesia by injection and inhalation mask.



The surgeon will then apply an antiseptic solution to the skin and place a sterile drape around the operative site.



Patient Education Company



Two incisions will be made beginning at the middle of the chest one along the top and one along the bottom of the breast - coming together just under the arm.



The skin is then lifted up and away, revealing the tissue underneath.



Beginning at the clavicle - or collar bone - the surgeon then begins to carefully cut the breast tissue away from the muscles that lie just beneath.



When the breast has been completely freed, it is lifted away, exposing the top layer of muscle, called the pectoralis major. Your doctor will remove this muscle.



Below the pectoralis major lies another chest muscle called the pectoralis minor. This muscle will also be removed, fully exposing the fatty tissues that lie surround it.



Within this fat deposit lie lymph nodes lymph vessels, blood vessels and nerves.



Using great care not to damage the large thoracic nerve, your doctor will remove the lymph nodes and surrounding fat.



Blood vessels will be tied off and your doctor will thoroughly examine the surrounding tissues for any other signs of disease.



When the surgical team is satisfied that they have done all that they can to remove the cancer, they will release the muscles and other tissue.



One or more drainage tubes will be temporarily inserted at the site while the healing process begins.



They will then close the incision.



Finally, a sterile bandage is applied.



Patient Education Company



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PreOp® Total Mastectomy Surgery - Patient Engagement and Education

Total Mastectomy Surgery - PreOp® Patient Engagement and Education

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StoreMD™ for Physician videos: Patient Engagement and Education Company



Your doctor has recommended that you have a total mastectomy. But what does that actually mean?



Total Mastectomy is the removal of the breast.



In most cases, mastectomy is required in order to remove cancerous tissue from the body.



The extent of tissue removed is determined by the amount of cancer present in your body.

Patient Education

A total mastectomy involves the removal the breast, but not the removal of lymph nodes or chest muscle that lies underneath the breast.



Your doctor has recommended that you undergo a total mastectomy because the cancer in your breast has progressed to the point that it is in danger of spreading into other parts of your body and the only way to make sure that all of the disease has been eliminated is to remove the entire breast.



This is major surgery and the procedure will permanently change the outward shape and appearance of your chest. So make sure that you ask your doctor to carefully explain the reasons behind this recommendation.



Your Procedure:



On the day of your operation, you will be asked to put on a surgical gown.



You may receive a sedative by mouth and an intravenous line may be put in.



You will then be transferred to the operating table.



In the operating room, a nurse will begin preparation by clipping or shaving your underarm.



The anesthesiologist will begin to administer anesthesia - most probably general anesthesia by injection and inhalation mask.



The surgeon will then apply an antiseptic solution to the skin and place a sterile drape around the operative site.





Two incisions will be made beginning at the middle of the chest, one along the top and one along the bottom of the breast - coming together just under the arm.



The skin is then lifted up and away, revealing the tissue underneath.



Beginning at the clavicle - or collar bone - the surgeon then begins to carefully cut the breast tissue away from the muscles that lie just beneath.



When the breast has been completely freed, it is lifted away, exposing the top layer of muscle, called the pectoralis major. If the cancer has spread to this muscle, your doctor may elect remove it as well.



When the surgical team is satisfied that they have done all that they can to remove the cancer, they will release the muscles and other tissue.



One or more drainage tubes will be temporarily inserted at the site while the healing process begins.



They will then close the incision. Finally, a sterile bandage is applied.



Patient Engagement and Education Company



#breastcancerawarenessmonth #BreastCancerAwareness #Pinktober

The PreOp® Breast Biopsy Wire Guided Surgery

Breast Biopsy Wire Guided Surgery - PreOp Patient Education & Patient Engagement

https://store.preop.com/shop/oncology-center/breast-biopsy-wire-guide/



Before we talk about treatment, let's start with a discussion about the human body and about your medical condition.



Your doctor has recommended that you undergo a breast biopsy procedure - or lumpectomy. But what does that actually mean?



Biopsy is a general term which simply means "the removal of tissue for microscopic examination."



Your doctor intends to remove tissue from the breast - not because you're necessarily ill - but because breast biopsy is a very accurate method for analyzing breast tissue.

 Medical Malpractice



Because it provides such accurate diagnostic information, breast biopsy is an important diagnostic tool in the fight against breast cancer.



In your case, you have lump in your breast which is too small to be felt by touch.



Your radiologist detected this abnormality while reviewing your recent mammogram - or breast x-ray. Let's take a moment to look at the reasons why lumps form in breast tissue.

 Medical Malpractice



The breast is made of layers of skin, fat and breast tissue - all of which overlay the pectoralis muscle. Breast tissue itself is made up of a network of tiny milk-carrying ducts and there are three ways in which a lump can form among them.



Most women experience periodic changes to their breasts. Cysts are some of the most common kinds of tissues that can grow large enough to be felt and to cause tenderness. Cysts often grow and then shrink without any medical intervention.



A second kind of lump is caused by changes in breast tissue triggered by the growth of a cyst. Even after the cyst itself has gone away, it can leave fibrous tissue behind. This scar tissue can often be large enough to be felt.



The third kind of growth is a tumor. Tumors can be either benign or cancerous and it is concern about this type of growth that has lead your doctor to recommend breast biopsy.



Sometimes you will have breast changes that can not be felt by physical examination alone; but may be seen on a mammogram.



In this video we will focus only on simple needle biopsy - which is the attempt to use a hollow needle to take a sample of the tissue in question.

In order to learn more about the nature of the lump in your breast your doctor would like to surgically remove it.



If you're feeling anxious, try to remember that the purpose of a biopsy is simply to find out what is going on in your body - so that if you do have a problem, it can be diagnosed and treated as quickly as possible.



If you should decide not to allow your doctor to perform the biopsy, you'll be leaving yourself at risk for medical problems.



If the suspicious tissue in your breast is benign, most likely you'll suffer few if any complications. However, if it is cancerous, and it is allowed to grow unchecked - you might be putting your own life at risk.



The bottom line - trust that your doctor is recommending this procedure for your benefit and above all don't be afraid to ask questions raised by this video and to talk openly about your concerns.



Your Procedure: A Patient Education & Patient Engagement Company



On the day of your operation, you will be asked to put on a surgical gown.



You may receive a sedative by mouth and an intravenous line may be put in.



You will then be transferred to the operating table.



Your doctor will scrub thoroughly and will apply an antiseptic solution to the skin around the area where the needle will be inserted.



Then, the doctor will place a sterile drape or towels around the operative site and will inject a local anesthetic. This will sting a bit, but your breast will quickly begin to feel numb. Usually, the surgeon will inject more than one spot - in order to make sure that the entire area is thoroughly numb





After allowing a few minutes for the anesthetic to take effect, the surgeon will insert the biopsy needle and guide it toward the lump.



You will feel some pressure or even slight tugging or pulling - but you should not feel any sharp pain. If you do begin to feel pain, you should tell the doctor.



Once the tip of the needle has penetrated the lump, the doctor will draw material from the lump up into the collection chamber.



Depending on the size and location of the lump your doctor may choose to reposition the needle and draw additional tissue for analysis.



Finally, a sterile dressing is applied.



Your specimen will be sent immediately to a lab for microscopic analysis. Your doctor will tell you when to expect result from those tests.



A Patient Education & Patient Engagement Company

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#BreastCancerAwareness

#Pinktober