Should You Treat Abnormal Urine and Blood Results Before Bladder Surgery? - Urology

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When considering whether to treat abnormal urine and blood results before bladder surgery, it is essential to evaluate the underlying causes of these abnormalities and the potential risks associated with proceeding to surgery without addressing them.

In the provided urine analysis, several concerning findings are present, including the presence of red blood cells (RBCs), white blood cells (WBCs), and bacteria, which suggest a possible urinary tract infection (UTI) or other underlying pathology. The presence of protein and glucose in the urine further indicates that there may be additional metabolic or renal issues that need to be addressed. Given these findings, it is generally advisable to treat any active infections or significant abnormalities before proceeding with surgical interventions.

1. Infection Control: If there is an active urinary tract infection, it is crucial to treat it with appropriate antibiotics before surgery. Performing surgery on an infected bladder can lead to complications such as increased risk of postoperative infections, delayed healing, and potential sepsis. The inflammatory response from an active infection can also complicate the surgical procedure and recovery.

2. Assessment of Kidney Function: The blood results indicate a slightly elevated glucose level, which could suggest issues such as diabetes or impaired glucose metabolism. Additionally, the presence of RBCs and WBCs in the urine may indicate that the kidneys are also affected. Before any surgical intervention, it is vital to ensure that kidney function is stable and that there are no underlying renal issues that could complicate surgery.

3. Surgical Risks: Surgery on the bladder, especially in the presence of infection or significant abnormalities in urine analysis, carries inherent risks. These risks include increased bleeding, infection, and complications related to anesthesia. Addressing any abnormalities prior to surgery can help mitigate these risks and improve overall surgical outcomes.

4. Timing of Surgery: If the abnormalities in urine and blood tests are significant, it may be prudent to delay surgery until these issues are resolved. This may involve a course of antibiotics for an infection, further diagnostic testing to understand the cause of the abnormalities, and monitoring kidney function.

5. Consultation with Specialists: It is advisable for the patient to consult with a urologist or nephrologist who can provide a comprehensive evaluation of the urinary and renal systems. This specialist can recommend the appropriate course of action, whether it be further testing, medical management, or surgical intervention.

In conclusion, it is generally recommended to treat any abnormal urine and blood results before proceeding with bladder surgery. This approach not only helps to ensure the safety and effectiveness of the surgical procedure but also addresses any underlying health issues that could complicate recovery. The patient's health and well-being should always be the priority, and thorough evaluation and treatment of any abnormalities are critical steps in the surgical planning process.