Advice after your nerve block for surgery
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What is a TURBT?
This operation removes a growth (tumour) from inside the bladder using a telescope passed through the urethra (waterpipe). The tumour is shaved away using electric current or laser energy. The tissue is sent for laboratory analysis to see if it is cancerous and to guide further treatment. Sometimes, an anti-cancer drug is placed directly into the bladder at the end of the procedure.
What to expect after surgery
Most people go home the same day or after one night in hospital. A catheter is usually placed in the bladder for a short time to wash out blood and prevent clots. It is common to see blood in the urine, pass small clots, or feel burning when urinating for a few days. Tiredness is also common. Some bleeding can recur up to three weeks later. The results of your tumour analysis will be discussed with you, and you may need further treatment or regular follow-up checks with a bladder telescope.
Pain and recovery
Discomfort when passing urine is common but usually mild and improves quickly. Simple painkillers such as paracetamol or ibuprofen usually help. Most people return to light daily activities after a few days, but full recovery may take longer. Risks include infection, delayed bleeding, recurrence of the tumour, or rarely, bladder or urethral injury.
Looking after yourself
- Drink plenty of fluids (at least 2 litres a day for the first few days) to flush the bladder and reduce discomfort.
- Take painkillers as advised.
- If given antibiotics, complete the full course.
- Stay mobile and resume normal activities when you feel ready, but avoid heavy lifting, strenuous exercise, and sexual activity until advised.
- Do not drive until you feel fully recovered and safe to do so.
Red flags – when to seek medical attention
Contact your healthcare team or go to A&E urgently if you:
- Cannot pass urine or develop severe pain when trying.
- Have heavy bleeding or pass large clots that do not clear with drinking fluids.
- Develop fever, chills, or feel generally unwell (possible infection).
- Have ongoing or worsening bleeding more than three weeks after surgery.
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:
- Males: 03006154570
- Females: 03006159062 / 03006159063 for advice between 8am-9pm Monday-Sunday.
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/019
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.