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What is TULA? 

Transurethral Laser ablation is a procedure usually done to treat some bladder cancers. It involves a thin flexible telescope (cystoscope) that goes through the waterpipe into the bladder with a laser to laser any abnormal areas. 

It usually takes 10-20 minutes. 

What to expect after the procedure 

Most patients go home the same day once they have passed urine. You may notice mild discomfort or burning during urination for a short period, and it's normal to see a small amount of blood in your urine for a few days. You'll receive a discharge summary and any necessary medications before leaving hospital.  

Pain and recovery 

Mild burning or stinging when urinating is very common and usually settles within a few days. Pain is generally minimal, but some patients may experience temporary bladder discomfort. If biopsies were taken, you might feel slightly more tender. Serious complications like anaesthetic or cardiovascular issues are rare (less than 1 in 50). 

How to care for yourself 

Drink plenty of fluids (about double your normal intake) for 24–48 hours after the procedure to help flush the bladder and reduce infection risk. You can resume normal activities, including work, once you feel well. 

Red flags – when to seek medical attention 

Contact us or your GP if you experience any of the following: 

  • Fever or chills  
  • Severe or worsening pain when peeing 
  • Unable to pee 
  • Heavy or persistent bleeding  
  • Signs of a urinary tract infection (frequent, painful urination, cloudy or bad-smelling urine)  

Who to contact  

After reading this information, if you have any concerns, please contact:  

Frimley park hospital

  • surgical helpline 07990528061 for advice between 7am-8pm Monday-Sunday.  

Wexham Park hospital surgical helpline:  

If you are feeling unwell, have pain, fevers, or any concerns please present to your local A&E department.  

Contact us

If you have any queries relating to this information, please contact the Urology service.

About this information

Service:
Urology

Reference:
Z/018

Approval date:
22 June 2026

Review date:
1 June 2029

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Important note 

This page provides general information only. It is developed by clinical staff and is reviewed regularly every 3 years for accuracy. For personal advice about your health, or if you have any concerns, please speak to your doctor.