A transurethral bladder biopsy is a procedure done to examine your bladder and remove a small piece of tissue for tests in the lab. The biopsy is done using a thin, flexible, lighted tube with a tiny camera, called a cystoscope. This scope is put through your urethra into your bladder. The urethra is the tube that drains urine from your bladder.
When is it used?
The procedure is usually done to check for bladder cancer or long-term bladder infections (chronic cystitis).
How do I prepare for this procedure?
Plan for your care and a ride home after the procedure.
Follow your provider’s instructions about not smoking before and after the procedure. Smokers may have more breathing problems during the procedure and heal more slowly. Itâ€™s best to quit 6 to 8 weeks before the procedure.
You may or may not need to take your regular medicines the day of the procedure. Some medicines (like aspirin) may increase your risk of bleeding during or after the procedure. Tell your healthcare provider about all medicines and supplements that you take. Ask your provider if you need to avoid taking any medicine or supplements before the procedure.
Tell your healthcare provider if you have any food or medicine allergies.
This procedure is usually done with a local anesthetic. If you are going to have general anesthesia, your healthcare provider will tell you when to stop eating and drinking before the procedure. This helps to keep you from vomiting during the procedure.
Follow any other instructions your healthcare provider gives you.
Ask any questions you have before the procedure. You should understand what your healthcare provider is going to do. You have the right to make decisions about your healthcare and to give permission for any tests or procedures.
What happens during the procedure?
You will be given a local or general anesthetic before the procedure to keep you from feeling pain. Local anesthesia numbs part of your body where you will have the procedure. You may be given medicine to help you relax, but you may be awake during the procedure. General anesthesia relaxes your muscles and you will be asleep.
Your healthcare provider will insert the scope into your bladder through your urethra. Your provider will pass water through the tube and into your bladder to stretch the bladder and give a better view. Then your provider will examine your bladder and use another tool with the scope to take a sample of tissue.
The procedure usually takes 15 to 45 minutes to complete, but the scope is usually in the bladder for no more than 5 to 10 minutes.
What happens after the procedure?
Usually you can go home after the procedure. If you had a sedative or general anesthetic, you may stay in a recovery area for a short while.
Itâ€™s normal to have the following symptoms for several days:
Frequent urination with some burning after urination
Urine that is red or pink in color with a few stringlike blood clots
Your provider may prescribe medicine for you to take after the procedure
Ask your healthcare provider:
How and when you will hear your test results
How long it will take to recover
What activities you should avoid and when you can return to your normal activities
How to take care of yourself at home
What symptoms or problems you should watch for and what to do if you have them
Make sure you know when you should come back for a checkup.
What are the risks of this procedure?
Every procedure or treatment has risks. Some possible risks of this procedure include:
You may have problems with anesthesia.
You may have Infection or bleeding.
You may not be able to urinate. If you have a lot of discomfort, you may need to have your bladder drained with a catheter temporarily.
Other parts of your body may be injured during the procedure.
Ask your healthcare provider how these risks apply to you. Be sure to discuss any other questions or concerns that you may have.
Developed by RelayHealth.
Adult Advisor 2015.1 published by RelayHealth. Last modified: 2014-04-18 Last reviewed: 2014-04-08
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
Transurethral Bladder Biopsy: References
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Morphological changes of bladder mucosa in patients who underwent instillation with combined sodium hyaluronic acid-chondroitin sulphate (IalurilÂ®).
Stage, grade and pathological characteristics of bladder cancer in the UK: British Association of Urological Surgeons (BAUS) Urological Tumour Registry.
Cheng L, Maclennan GT, Lopez-Beltran A. Histologic grading of urothelial carcinoma: a reappraisal. Hum Pathol. 2012 Apr 26.
Falebita OA,Â Lee G,Â Sweeney P. Urine cytology in the evaluation of urological malignancy revisited: is it still necessary? Urol Int.Â 2010;84(1):45-9.
Mishriki SF, Vint R, Somani BK. Half of visible and half of recurrent visible hematuria cases have underlying pathology: prospective large cohort study with long-term followup. J Urol. 2012 May;187(5):1561-5