Actos Lawsuit
Actos Lawsuit : On rare occasions, doctors will recommend another resection procedure. Sometimes the pathologist wants to biopsy muscle tissue from deeper in the bladder wall. And sometimes the tumor is too large to be safely removed all at once.
Sometimes, in an alternative procedure, lasers (high- energy light beams) are used to remove superficial tumors. While patients find this procedure slightly more comfortable than resection, the laser often destroys the tumor tissue, leaving nothing for pathologists to examine. The lack of pathology may limit your medical teams ability to predict recurrence and target your follow-up plan.
If you have been diagnosed with a low-risk tumor, resection may be the only treatment recommended by your medical team. Your team may also recommend a course of intravesical therapy.
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When you have a bladder resection by means of a cystoscopy, as opposed to invasive surgery, you wont have an incision or stitches, as no external cutting or incision is required.
Resecting (sometimes called endoscopic resection) is performed under general anesthesia in a hospital setting. Your doctor will use a resectoscope, which resembles a somewhat larger cystoscope. Like a cystoscope, a resectoscope has a lighted lens and is introduced into your bladder through your urethra. (Don’t worry; you will be asleep under anesthesia and receiving pain medication while this is happening.)
Your doctor will fill your bladder with water or a nonirritating clear liquid such as glycine, which expands the bladder walls and makes it easier to see tumors and abnormalities. Guided by the map made during the initial cystoscopy, your doctor will use a small wire loop (through which a high-energy electrical current runs) to remove the cancer, a margin of healthy tissue, and a small amount of muscle. Any remaining cells are removed with an electric current or sometimes a high-powered laser. Sometimes your doctor will also take a few random tissue samples from other areas of your bladder to make sure abnormal cells are not developing elsewhere. The tumor, healthy tissue, and muscle are then sent to your pathologist for examination.
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A small amount of muscle tissue is included in the tissue sample so the pathologist can verify that the tumor has not spread into the muscle wall. A margin of healthy tissue is removed to decrease the chances that abnormal cells remain in the bladder.
Resection is usually carried out as outpatient surgery. This means that you probably will be able to go home the same day. (You will need a driver to accompany you because you will still be recovering from anesthesia when you are released from the hospital, so you wont be sufficiently alert to drive a car.) You may see some blood in your urine for a few days after a resection, and you may experience pain or stinging when you urinate. The stinging can be eased by drinking lots of fluids and by taking simple pain medications prescribed by your urologist. If either condition lingers longer than two or three days, if other painful conditions occur, or if the bleeding becomes extensive, call your doctor right away.
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