Recovery Timeline and What to Expect After Bladder Neck Electroresection for Cystitis Glandularis

Bladder neck electroresection is a commonly performed surgical procedure for patients diagnosed with cystitis glandularis—a rare, benign condition typically affecting the trigone area of the bladder. While generally non-cancerous, this inflammatory disorder can cause discomfort and urinary symptoms that often require intervention. Most patients experience significant improvement following surgery, but understanding the recovery process is key to managing expectations and ensuring optimal healing.

Typical Recovery Period After Surgery

On average, full recovery after transurethral resection (TUR) for cystitis glandularis takes approximately four weeks. During this time, the bladder's inner lining—damaged during the procedure—gradually regenerates and becomes fully covered with healthy mucosal tissue. This healing phase is crucial to prevent infection and reduce irritation in the urinary tract.

Catheter Use and Hospital Stay

Patients usually do not need to remain hospitalized for the entire recovery period. In most cases, a urinary catheter is kept in place for only 3 to 6 days post-surgery, depending on the extent of the resection. For smaller lesions, the catheter may be removed after just 3 days, allowing early discharge. Larger or more complex areas may require up to 5 or 6 days of drainage support before safe removal. Once the catheter is out and urination is stable, patients are typically cleared to go home.

Factors That Influence Healing Time

Recovery duration varies significantly from person to person and depends on several factors including the depth of tissue removal, the size of the treated area, and individual healing capacity. Deeper resections or extensive electrocoagulation zones naturally take longer to heal, as they involve more tissue regeneration. Additionally, underlying health conditions such as diabetes or compromised immune function can also slow down the recovery process.

Importance of Follow-Up Care

It's important to understand that while electroresection effectively manages symptoms and removes abnormal tissue, it does not offer a permanent cure for cystitis glandularis. Recurrence is common and, in many cases, expected. Because of this, long-term monitoring through regular cystoscopies and urine tests is strongly recommended—usually every 3 to 6 months initially, then adjusted based on individual risk.

Managing Expectations and Preventing Complications

Patients should maintain realistic expectations about outcomes. Mild burning during urination, light blood-tinged urine, and increased frequency are normal in the first 1–2 weeks after surgery. However, signs like fever, heavy bleeding, or inability to urinate require immediate medical attention. Staying well-hydrated, avoiding strenuous activity, and following post-op care instructions closely can help minimize complications and support faster healing.

In conclusion, while most individuals return to normal daily activities within a month, ongoing surveillance remains essential due to the recurrent nature of cystitis glandularis. With proper medical follow-up and lifestyle adjustments, patients can achieve good quality of life and early detection of any changes in bladder health.