244573078_10158368502398549_7843864790322177505_n-5.jpg 244712002_10158380365468549_7728094538159055310_n-6.jpg 244034599_10158368502583549_5849256885751039884_n-3.jpg 244417522_10158368502098549_963015944613606385_n-4.jpg 245281893_10158375313548549_6013529249238333885_n-1.jpg 245268189_10158375313333549_2521567032240164587_n-2.jpg 245309991_10158375313863549_4309428195675355957_n-0.jpg

Mayo stand and back table instruments for Cysto biopsy with fulguration (TURBT) surgery setup

Clamping & Occluding

  • Curved Hemostat

    Curved Hemostat

Cutting & Dissecting

  • Straight Mayo Scissor

    Straight Mayo Scissor

Grasping & Holding

  • Alligator Grasper

    Alligator Grasper


  • Camera Cord

    Camera Cord

  • Cystoscope 30 Degree

    Cystoscope 30 Degree

  • Cystoscope Sheath

    Cystoscope Sheath

  • Cystoscopy Bridge

    Cystoscopy Bridge

  • Ellick Evacuator

    Ellick Evacuator

  • Light Cord

    Light Cord

  • Obturator


  • Resectoscope


  • Surgical Spoon

    Surgical Spoon


  • Suction Irrigator

    Suction Irrigator

What to expect during Cysto biopsy with fulguration (TURBT)

A diagnostic or therapeutic procedure during which a small bladder tumor can be biopsied and destroyed.

A biopsy is a procedure in which a doctor takes a tissue sample from the area where cancer may exist. During the biopsy procedure, the doctor also will try to remove the cancerous growth. This is called resecting. The entire bladder tumor biopsy and resection procedure is known as Transurethral Resection of Bladder Tumor (TURBT), or sometimes just transurethral resection (TUR).

Position: Low lithotomy
Anesthesia: Spinal; general
Skin Prep: Pubic area including scrotum & perineum
Draping: Cystoscopy drape & leggings

For this case, we have already done our first scrub of the day. We are then able to use the hand sanitizer on the wall to open-glove & set up our back table, being careful not to touch anything, except with our gloved hands, since we are not gowned just yet.

Surgical Procedure:
1- Instill topical Lidocaine that will numb the urethra.
2- Lubricate the tip of the cystoscope & insert it into the urethra & advance into the bladder. The obturator is removed & a urine specimen may be obtained while the bladder is drained.
3- Irrigation tubing is connected to the cystoscope & the fluid from the bags is allowed to flow into the bladder.
4- Insert ureteral catheter through cystoscope port to view upper urinary tract. Contrast media (50/50 mixture of saline & Isovue in 20mL syringe) is injected & fluoroscopy is used to view the upper urinary tract. *Don’t forget to wear your lead apron!*
5- Removal of tumors etc. may be done at this time… biopsy…
6- Remove scope & insert Foley catheter with a drainage bag.

Setups may vary. Our surgeon changes her mind about things she wants to use all the time. It can be hard to keep up with.

Setup options: Login to see options

Leave a Reply

Your email address will not be published. Required fields are marked *

The maximum upload file size: 256 MB. You can upload: image, audio. Links to YouTube, Facebook, Twitter and other services inserted in the comment text will be automatically embedded. Drop files here