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Trans Urethral Resection of Bladder Tumor (TURBT) Surgery Cost

Doctors can identify and treat bladder cancer with a surgery called transurethral resection of bladder tumors (TURBT). Using tools and a narrow tube (scope) that passes through your urethra, the surgeon removes the tumor. Pain or discomfort could last for a week or two following the procedure.

Factors that affect the cost of Trans transurethral resection of Bladder Tumor (TURBT):

  • Type and Size of Tumor: Depending on the bladder tumor's type, size, and location, there may be differences in the procedure's complexity and related expenses. Larger or more widespread tumors may necessitate more extensive tissue resection, prolonged surgery, and costly post-operative care, all of which might raise expenses.
  • Surgical Approach: A variety of surgical procedures, including laser ablation, bipolar resection, and traditional monopolar resection, can be used to conduct TURBT. The surgical technique selected can have an impact on the total complexity and length of the treatment, as well as the cost of supplies and equipment.
  • Surgeon's Experience and Expertise: The cost of TURBT procedures can be affected by the urologist's experience and skill level. Surgeons who have received specialized training and have performed a lot of bladder cancer surgeries may charge more for their services.
  • Anesthesia Fees: To guarantee the patient's comfort and safety throughout the TURBT treatment, anesthesia is necessary. The total cost is influenced by the cost of anesthesia services, which might differ depending on the kind of anesthesia utilized and the length of the surgery.
  • Operating Room Fees: The total cost of TURBT surgery is increased by the expense of using the operating room, which includes supplies, equipment, and support personnel. Operating room costs may vary depending on how long the treatment takes and whether any extra services are needed during the surgery.
  • Pre-operative Evaluation and Testing: To determine whether a patient is a good candidate for TURBT surgery, they usually go through pre-operative evaluation and testing. Blood tests, urine tests, imaging investigations (CT or MRI scans), and consultations with other doctors are a few examples of what this could include. The total cost is increased by the cost of these assessments.
  • Hospitalization Costs: For monitoring and post-operative care, TURBT surgery patients may need to spend the night in the hospital in some circumstances. One should take into account the total cost of hospitalization, which includes lodging fees, nursing staff, prescription drugs, and other auxiliary services.
  • Pathology Fees: Tissue samples taken after TURBT surgery are submitted to a pathology laboratory for examination after the treatment. The total cost is increased by the cost of pathology services, which include tissue processing, staining, and pathologist interpretation.
  • Post-operative Care and Follow-up: To evaluate treatment response, identify recurrence, and manage problems, patients following TURBT surgery may need imaging scans, follow-up appointments, and monitoring. The total cost of treatment is increased by the cost of post-operative care services.
  • Geographic Location: The price of healthcare services varies depending on where you live, with higher prices typically being linked to areas with higher living expenses or higher demand for specialist medical treatment.
CountryCostLocal_currency
United KingdomUSD 6000 - 116854740 - 9231
TurkeyUSD 4000120560
SpainUSD 65436020
United StatesUSD 6412 - 100306412 - 10030
SingaporeUSD 5000 - 100006700 - 13400

Treatment and Cost

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  • 2 Day in Hospital
  • 2 No. Travelers
  • 12 Days Outside Hospital

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Types of Trans Urethral Resection of Bladder Tumor (TURBT) in Fortis Hiranandani Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Overall TURBT Cost2031 - 4068166049 - 331529
Conventional TURBT1016 - 202182881 - 166970
Laser TURBT1518 - 3053124967 - 250278
Electrocautery TURBT1215 - 253499828 - 207592
Plasma Kinetic TURBT2842 - 4042232766 - 333090
  • Address: Fortis Hiranandani Hospital Vashi, Sector 10A, Vashi, Navi Mumbai, Maharashtra, India
  • Facilities related to Fortis Hiranandani Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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The cost for Trans Urethral Resection of Bladder Tumor (TURBT) ranges from USD 3180 - 3540 in Fortis Hospital, Shalimar Bagh


Fortis Hospital, Shalimar Bagh is a super-speciality hospital which occupies a unique place when it comes to providing world class patient care. The hospital is equipped with 262 beds and is expanded over a total area of 7.34 acres. It provides the highest quality of medical care via its team of doctors, technicians, nurses, and management professionals.

Infrastructure & facilities:

  • PET-CT
  • Radiation Oncology: VERSA HD - Elektra (Linac) for Intensity Modulated Radiation Therapy (IMRT), Volumetric Modulated Arc Therapy, Image
  • Guided Radiation Therapy, Stereotactic Radiotherapy, Brachytherapy
  • EUS, 3D Laparoscopic system, Capsule Endoscopy
  • Fibro Scan, Stereotactic Frame for Neurosurgery, ERCP
  • Cardiac Catheterization Lab with Hybrid Operating Room
  • Flat Panel Cath Lab
  • Endo Bronchial Ultrasound
  • 100-Watt Holmium Laser, lithotripsy
  • Flexible Ureteroscope
  • NABH Accredited Hospital
  • NABL Accredited Lab
  • High-tech labs
  • Advanced intensive care units
  • Modular operation theaters
  • Luxury rooms for patients
  • Consultation available on Call / Email / Skype
  • Visa and Travel assistance
  • Local transport available as per the requirements of patients
  • Provision of ambulance/car pickup at airports
  • Rehabilitation facilities wherein experts train you for the therapies and exercises
  • Patient dropped to airports in car / ambulance
  • Fully Air-conditioned Deluxe-Suite rooms
  • Hassle-free discharge as per your flight timings
  • One of Asia’s largest Bone Marrow Transplant Centre
  • Advanced Robotic Surgery Systems
  • Liver Transplant | Kidney Transplant | Heart Transplant
  • Cancer Centre | Centre for Chest and Respiratory Diseases
  • Centre for Child Health | Centre for Critical Care
  • Centre for Bone Marrow Transplant

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The cost for Trans Urethral Resection of Bladder Tumor (TURBT) ranges from USD 3160 - 3510 in Aakash Healthcare Super Speciality Hospital


Aakash Healthcare Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • One of the biggest tertiary care hospitals in India
  • Facility is fusion of state of the art technology, competent clinicians, and world-class infrastructure
  • 230 beds
  • 70 bedded medical and surgical and Critical Care Unit
  • Ward Bed Options- Twin, Deluxe, Sharing and Economy
  • Pneumatic Tube System
  • Ambulance Services 24x7
  • 15 Bedded dialysis unit
  • Advanced Neonatal ICU
  • Advanced imaging services, including magnetic resonance imaging, computed tomography scanning, digital mammography, ultrasound
  • 8 modular OTs
  • Flat Panel Cath Labs
  • LASIK - SMILE Suite
  • Wellness Lounge
  • State-of-the-art diagnostic equipment
  • 15 Dialysis beds
  • 24x7 ‘Trauma & Emergency Center
  • Dedicated blood bank
  • 24x7 comprehensive patient care.
  • Deployed high-end technologies & smart digital system
  • Robust Hospital Information Systems to meet complex medical needs of patients
  • Robotic assisted surgeries
  • International Patients Lounge
  • Airport Pick-up and Drop
  • Accommodation and Food for Attendant
  • Language Interpreter Services
  • 4 triage beds, a dedicated sample collection room, 6 observation beds, and highly skilled emergency staff
  • Robotic knee replacement surgery
  • ATM
  • Lounge for visitors
  • Internet Access: The whole facility is Wi-Fi enabled
  • Travel Desk: Provides an all-round patient care.
  • 24x7 pharmacy

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Types of Trans Urethral Resection of Bladder Tumor (TURBT) in Aster Medcity and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Overall TURBT Cost2022 - 4053167227 - 333364
Conventional TURBT1017 - 202283569 - 166750
Laser TURBT1526 - 3033124710 - 248916
Electrocautery TURBT1219 - 254999427 - 208013
Plasma Kinetic TURBT2833 - 4068231912 - 332987
  • Address: Aster Medcity Hospital, South Chittoor, Kochi, Kerala, India
  • Facilities related to Aster Medcity: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation

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Types of Trans Urethral Resection of Bladder Tumor (TURBT) in Pushpawati Singhania Research Institute and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Overall TURBT Cost2030 - 4077167082 - 332656
Conventional TURBT1014 - 202683050 - 166225
Laser TURBT1525 - 3054124362 - 248658
Electrocautery TURBT1215 - 2526100026 - 207084
Plasma Kinetic TURBT2828 - 4063232379 - 333070
  • Address: Pushpawati Singhania Research Institute, Phase II, Sheikh Sarai, New Delhi, Delhi, India
  • Facilities related to Pushpawati Singhania Research Institute: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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Types of Trans Urethral Resection of Bladder Tumor (TURBT) in Thumbay University Hospital, Ajman and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (AED)
Overall TURBT Cost3981 - 773014560 - 29297
Conventional TURBT2834 - 565310488 - 20351
Laser TURBT4416 - 738716289 - 27027
Electrocautery TURBT4194 - 677015946 - 25189
Plasma Kinetic TURBT4820 - 797717527 - 29367
  • Address: Thumbay University Hospital - Ajman - United Arab Emirates
  • Facilities related to Thumbay University Hospital, Ajman: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance

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Types of Trans Urethral Resection of Bladder Tumor (TURBT) in Medical Park Karadeniz Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (TRY)
Overall TURBT Cost3417 - 7347100658 - 225105
Conventional TURBT2228 - 442767016 - 137338
Laser TURBT2851 - 568184403 - 167736
Electrocautery TURBT2494 - 498973124 - 150192
Plasma Kinetic TURBT5117 - 7199153399 - 215625
  • Address: n
  • Facilities related to Medical Park Karadeniz Hospital: Choice of Meals, Interpreter, TV inside room, Accommodation, Airport Transfer

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Apart from in-detail treatment procedures available, Kardiolita Hospital, Kaunas located in Kaunas, Lithuania has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals. Also listed below are some of the most prominent infrastructural details:

  • An outpatient department, 56-beds for inpatients
  • 13 advanced operation theatres
  • 24-hour intensive care unit
  • Emergency Department
  • Gynecology Center
  • Vascular Center
  • ENT Center
  • Neurology Center
  • General and Abdominal Surgery Center
  • The staff also takes care of your air travel and pick & drop facility
  • Gynecology Center
  • Vascular Center
  • ENT Center
  • Neurology Center
  • General and Abdominal Surgery Center
  • The staff also takes care of your air travel and pick & drop facility

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The Hospital is an amalgamation of a group of buildings located in the Eixample Left of Barcelona, ??between Paris, Viladomat, and London streets. It has a capacity of 350 adjustable beds and first-class hotel-like services inpatient rooms. Currently, it has a workforce of about 1100 Healthcare Professionals. 

In order to treat patients with intensive care, the Hospital has 10 beds in its ICU for critically ill patients. 

The Hospital has launched a few more things to improve customers’ services- 4 new Operating Rooms and a New Diagnostic Imaging Service.

Other Services

  • Surgical Block with 13 major surgery operating rooms, 5 operating rooms for Minor Surgeries, 1 for Dermatology Service
  • The Non-Admitted Surgery Unit (UCSI) Major Outpatient Surgery (CMA) has a total of 14 units to care for major surgery patients who do not require admission to hospitalization
  • Rehabilitation Center with treatment boxes and group therapy room, Gym, Medical visit offices, priests rooms, waiting rooms, and others 
  • 7 Examination Cabinets 
  • The pediatric patients waiting room 
  • Emergency Center-12 emergency boxes, 1 double resuscitation box, and 7 rapid visit offices

Types of Room

Double Rooms, Double Rooms for Individual Use, and Single Rooms; equipped with an easy-to-use electrical movement control system and a nursing call/warning system, located at the head of the bed, a sofa-bed for the companion, and a bathroom with a shower. They are also equipped with television and telephone.

A cafeteria/Restaurant is also available for the patients or visitors.


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Types of Trans Urethral Resection of Bladder Tumor (TURBT) in Max Super Specialty Hospital, Shalimar Bagh and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Overall TURBT Cost2029 - 4042166011 - 334197
Conventional TURBT1018 - 202283000 - 166676
Laser TURBT1519 - 3056124417 - 249678
Electrocautery TURBT1221 - 2546100080 - 208934
Plasma Kinetic TURBT2843 - 4078233036 - 332927
  • Address: Max Super Speciality Hospital, Shalimar Bagh, Max Wali Road, C and D Block, Shalimar Place Site, Shalimar Bagh, New Delhi, Delhi, India
  • Facilities related to Max Super Specialty Hospital, Shalimar Bagh: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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The Amrita Institute of Medical Sciences and Research Centre was established in 1998 by Mata Amritababdamayi Devi. It has 7 branches all over India and is accredited by ISO, NABH, and NABL. The hospitals offer a wide range of specialty and primary healthcare and medical services. It has a team of 800 doctors along with 2600 plus beds including 534 critical care beds and 81 specialties. The hospitals offer advanced and cutting-edge medical treatments ranging from cardiac sciences to radiation oncology.  It has 12 super-specialty departments along with 45 other departments.

Asia’s first Bilateral Hand Transplant Surgery was done at Amrita Hospital, Kochi, in 2015. Many awards have been received by the hospitals such as National Healthcare Excellence Award for Best Hospital (CSR Category) in India by FICCI in 2013, India Healthcare Award for the Paediatric Heart Program in 2014, British Medical Journal Award for the Best Surgical Team in South Asia, 2015, and FICCI Healthcare Excellence Awards for Patient Safety and Innovation in Medical Technology. What truly sets the medical services provided by AIMS is the commitment to treating every patient with the utmost kindness, respect, and empathy. The goal is to make patients empowered and take charge of their well-being through healthcare, medical technologies, and education that is patient-centric for early intervention and prevention.

Amrita Hospital in Faridabad is a multispeciality hospital that provides patients with emergency, consultation, diagnostic, rehabilitative treatment, and recovery. It comprises centers for Radiation Oncology, Neurosciences, Bone diseases, Gastro-sciences, Mother and Child care, Cardiac sciences, and Trauma transplants through fully-automated innovative laboratories, the latest cardiac and cath labs, and advanced medical imaging. It houses 670 faculty members, 4500 supporting staff, and a multidisciplinary children’s infirmary with fetal and maternal medicines and pediatric subspecialties. The hospital also runs India’s most comprehensive facility for infectious diseases.


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The first green hospital in Turkey, Istanbul Florence Nightingale Hospital, was inaugurated in 2013. Group The Florence Nightingale hospitals are the first Turkish hospitals to be granted Joint Commission International (JCI) accreditation, and they continue to be associated and work with esteemed healthcare organizations.

The Florence Nightingale Group treats 250,000 outpatients and 70,000 inpatients annually, demonstrating its excellence. The hospitals have a capacity of 804 inpatient beds, 141 ICU beds, and 40 operating rooms, and perform 20,000+ procedures annually, of which 1,000 are cardiac operations for children and 2,000 are for adults. For conducting difficult orthopedic, general surgery, minimally invasive, and other heart treatments, the facility stands out. All operating rooms can be interconnected by audio-visual to a 300-person conference room and global hubs, enabling interactive medical teaching and scientific activity.

Interpreter and translator services for languages such as Turkish, Azerbaijani, Bulgarian, Arabic, English, Persian, Serbian, Russian, Albanian, Macedonian, German, Bosnian, and Romanian are available.

The hospital has specialized departments such as Cardiology and Cardiac Surgery, IVF and Infertility, Nephrology, Oncology and Oncosurgery, Spine Surgery, Neurology and Neurosurgery, Orthopedics, Gynecology, and Obesity or Bariatric Surgery. With an extensively qualified and experienced team of advisors and interpreters, Florence Nightingale Istanbul is committed to providing one-stop service from beginning to end, 24 hours a day, 7 days a week.


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Types of Trans Urethral Resection of Bladder Tumor (TURBT) in Medanta - The Medicity and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Overall TURBT Cost2205 - 4557186456 - 369336
Conventional TURBT1139 - 229590573 - 182171
Laser TURBT1654 - 3431137624 - 278112
Electrocautery TURBT1373 - 2750110512 - 234656
Plasma Kinetic TURBT3096 - 4591259434 - 367590
  • Address: Medanta The Medicity, Medicity, Islampur Colony, Sector 38, Gurugram, Haryana, India
  • Facilities related to Medanta - The Medicity: Mobility Accessible Rooms, TV in room, Religious Facilities, Health Insurance Coordination, Cafe

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Types of Trans Urethral Resection of Bladder Tumor (TURBT) in Apollo Hospitals and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Overall TURBT Cost2289 - 4476188411 - 374376
Conventional TURBT1110 - 228794094 - 182054
Laser TURBT1688 - 3359138059 - 271860
Electrocautery TURBT1355 - 2776110251 - 228278
Plasma Kinetic TURBT3139 - 4542254038 - 372069
  • Address: Apollo Hospitals Jubilee Hills, Film Nagar, Hyderabad, Telangana, India
  • Facilities related to Apollo Hospitals: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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Types of Trans Urethral Resection of Bladder Tumor (TURBT) in Venkateshwar Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Overall TURBT Cost2020 - 4056166496 - 332801
Conventional TURBT1012 - 203683559 - 165924
Laser TURBT1522 - 3051124825 - 250839
Electrocautery TURBT1216 - 254199429 - 207353
Plasma Kinetic TURBT2851 - 4055233821 - 331720
  • Address: Venkateshwar Hospital, Sector 18, Sector 18A, Dwarka, Delhi, India
  • Facilities related to Venkateshwar Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities

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About the Trans Urethral Resection of Bladder Tumor (TURBT)

This procedure, known as Transurethral Resection of Bladder Tumor (TURBT), is designed to detect and remove bladder tumors in their early stages by inserting a scope through the urethra leading to the bladder. During the TURBT procedure, urologists can identify bladder cancer and potentially address various other bladder-related disorders. It's noteworthy that around 75% of detected bladder cancers are superficial, meaning they only grow on the surface of the bladder walls without penetrating deeply. This characteristic allows surgeons to remove the tumor at the bladder wall level without causing damage to the deeper layers of the organ. The information gathered during the procedure assists surgeons in determining the type and extent of the tumor's abnormality. This information is crucial as it helps urologist surgeons decide whether further treatments are necessary.

The bladder, a sac-like muscular organ, resides in the pelvic region above the pelvic bone. It connects to the kidneys via two ureters, which transport urine from the kidneys to the bladder for storage. Abnormal cell growth in the inner lining can lead to the development of a tumor, necessitating diagnosis followed by TURBT surgery.
In the initial stages, tumors are often difficult to detect. Patients may exhibit few notable symptoms when harboring a primary tumor.
Progressing through stages of bladder cancer, Stage 0, also known as carcinoma in situ, represents non-invasive papillary cancer. At Stage I, cancer affects the bladder's lining but has not invaded the muscular wall. Stage II marks invasion into the bladder's muscles, rendering it invasive. Stage III denotes further spread into nearby tissues like reproductive organs. Finally, Stage IV indicates lymph node involvement and spread to surrounding organs.

Causes of tumor in the bladder

The causes of tumors in the bladder are not clear and well defined but it has been linked to smoking, chemical exposure to radiation, or a parasitic infection. The abnormal cells undergo some mutation that allows them to multiply in a nonorderly fashion and goes beyond control and they do not die thus giving rise to the tumor.

Symptoms of the TURBT

A person suffering from a tumor will experience mild sensations of burning and discomfort in the times of urination for quite a few days. The force of the urinary stream may also undergo significant changes which can be observed for a week to a fortnight. Usually, there could be none of the symptoms and in certain cases, all symptoms even if experienced may not lead to the conclusion that it is a bladder cancer. There can be blood or clots of blood in the urine along with a tendency to urinate too frequently. The tendency of urinating at night may be felt more but there can be general problems in urine passing. Associated along with this the patient can experience pain on either side of the body.

What are the alternatives for TURBT procedure?

Some of the other treatment alternatives for TURBT are being worked upon while some of them have tremendous side effects

Blue light fluorescent cystoscopy : Enhanced tumour visualization is possible and detection of tumour chances are increased by almost 20 to 25% with this method where an ultraviolet blue light is used. A dye is injected an hour prior to the procedure.

Adjuvant bladder cancer therapy: TURBT is not suitable for many who have a high chance of suffering a recurrence within 12 months from the treatment. In this case adjuvant therapy is recommended. It includes intravesicle chemotherapy. Chemotherapy for bladder cancer includes giving medication to curb the abnormal growth of cells. But it also has its sets of side effects like experiencing irritation in the bladder and loss of hair, nails and feeling debilitated for a very long period of time.

How is Trans Urethral Resection of Bladder Tumor (TURBT) performed?

  • The techniques of anaesthesia used are all suitable for TURBDT procedure. In case of spinal anaesthesia the patient stays awake and the surgery team can stay alert for any TUR Syndrome. This is a rare complication but cannot be ignored still. But for complex tumours the resection does not prefer spinal anesthesia as obturator reflex where a leg thrust which is very powerful can be felt. So if tumour location is not known general anaesthesia is preferable with endotracheal tube or LMA allowing surgeon the flexibility for long as well as short term paralysis.
  • For achieving proper positioning Mitchell slings and split leg spreader table attachments are employed. In the dorsal lithotomy position when a patient is positioned then care is taken to ensure that all the points of pressure are adequately padded and none of the joints are flexed beyond 90 degrees. Peroneal nerve injury has to be avoided as there are chances of the same during compression of the nerve on the lateral fibular head.
  • With betadine scrub, chlorhexidene or with any other antiseptic agent the area is cleaned, and then covered with sterile drapes. The wires and cords are positioned as per the convenience of the surgeon. On the abdomen of the patient a video monitor is positioned at a suitable height ensuring comfort during the procedure and prevents neck or head strain as much as possible.
  • The Iglesias type continuous flow resectoscope is preferred and it allows the surgeon to control both inflow and outflow which when controlled for proper equilibrium will ensure constant volume in the bladder and having the tumour fixed in position and also have the vision cleared when coming across bloody fields.
  • The bladder has to be prevented from being overfilled and has to be maintained at half the volume all throughout the resection procedure. For small and moderate tumours the attacked area should be directed towards the tumour’s stalk.  The stalk of the tumour is at times hidden by the fronds or papilla of the tumour. Due to this there can be brisk bleeding which is continuous until and unless the large blood vessels. If the stalk does not get identified easily some of the fronds must be trimmed and then the stalk can be addressed.
  • Next the normal bladder mucosa and stalk has to be resected around the stalk circumferentially. During the resection of larger tumours it is suitable to send the chips resected separately for the pathologist so that they can identify the muscle fibers to signify sufficient resection.  Stalk base biopsies which are deep in the muscosa are also good for identifying muscle specimen.
  • Hemostasis has to be achieved after complete resection of the tumour, the resection site bases are painted and the mucosa edge around the tumour can ensure hemostasis adequately.
  • By a highly vascular stalk the papillary tumour is attached to the bladder. In order to get near the stalk surgeon must chip at the tumour’s periphery. The surgery is all about finding the stalk fast and addressing it to control it. That can at least stop the bleeding. But at times due to the size of the tumour it becomes difficult to locate the stalk and the surgeon has to look for the stalk evidence patiently.
  • With the help of an Ellik evacuator the bladder has to be irrigated copiously and the chips must be evacuated. The site has to be monitored to detect any bleeding, and the chips have to be removed before they clog the catheter. The irrigation has to be stopped and any remaining chips should be allowed to settle at the bottom of the bladder. With the help of a loop it must be grasped and manually pulled out from the bladder and Ellik can be used till all the chips are removed.
  • A large bore catheter should be placed. While some surgeons use 3 -way irrigation, this must be avoided to prevent catheter clotting off causing bladder perforation. Manual irrigation can be ideally used to maintain free flow of fluid. Lasix dose is used to create physiologic 3-way irrigation and it can simultaneously treat hyponatremia after the resection.

Recovery from Trans Urethral Resection of Bladder Tumor (TURBT)

A catheter will be given to the patient while going home and nurses will instruct how to maintain it clean and use it as a drainage bag. How to remove the catheter will also be taught which is a very simple and easy step and has very little discomfort associated with it. Antibiotics can be used in the form of ointment around the tip of the catheter to reduce irritation. Usage of an overnight bag is very convenient since it can store the urine for a longer period of time. It happens that there may be some blood clots that may pass while urinating; this must not scare you as it is normal. In addition to the overnight bag while walking a leg bag can also be worn. But if you find persistent clotting and large clots or the catheter is found not draining urine anymore you should inform your surgeon.

The total period of recovery is pretty long as 6 weeks and can be divided into two weeks and then the last 4 weeks. During the first 2 weeks the patient is expected to behave as leisurely as possible and do very light activities and sexual activity must be avoided during this period. Of course, within the first week, one should go and collect the biopsy report and adhere to the medications prescribed by the doctor. In the next 4 weeks, the patient can slowly resume back normal activities with periodic checkups with the doctor to understand the health and chances of recurrence.

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