Cysto Fulguration is a medical procedure commonly used to treat bladder lesions or tumors.
Cysto fulguration, also known as cystoscopic fulguration, involves the use of a cystoscope to visualize the bladder interior and apply electrical or laser energy to destroy abnormal tissue. This method is minimally invasive and typically performed under local or general anesthesia.
Indications
- Bladder tumors (particularly non-muscle invasive bladder cancer)
- Hemorrhagic cystitis
- Bladder polyps
- Small bladder stones
- Other benign lesions or abnormal growths in the bladder
Procedure
1. Preparation:
- Pre-procedure evaluation, including imaging (e.g., ultrasound, CT scan) and lab tests.
- Patients are advised to avoid eating or drinking several hours before the procedure if general anesthesia is used.
2. Execution:
- The patient is positioned on the operating table, usually in the lithotomy position.
- Anesthesia is administered.
- A cystoscope is inserted through the urethra into the bladder.
- The bladder is inspected, and abnormal tissues are identified.
- Electrical current (electrocautery) or laser is used to destroy the abnormal tissues.
3. Post-procedure:
- The cystoscope is removed.
- Patients may have a temporary catheter to aid in urination and prevent urinary retention.
- Post-operative monitoring in the recovery area for complications like bleeding or infection.
4. Recovery - Patients may experience mild discomfort, burning sensation during urination, or blood in the urine for a few days.
- Instructions are given to increase fluid intake to flush out the bladder.
- Pain relievers and antibiotics may be prescribed.
- Follow-up appointments are necessary to monitor healing and detect any recurrence of abnormal tissue.
Risks and Complications
- Bleeding
- Infection
- Bladder perforation (rare)
- Urinary retention
- Recurrence of the treated lesion
Benefits
- Minimally invasive
- Quick recovery time
- Effective for treating small, superficial bladder lesions
- Can be repeated if necessary
Cysto fulguration is a valuable procedure for managing various bladder conditions, offering a balance between effectiveness and minimal invasiveness. Patients should discuss with their urologist to understand the specifics of their case and any individual risks or considerations.