Trans Urethral Resection of Bladder Tumor (TURBT) cost in India

Treatment and Cost

14

Total Days
In Country

2 No. Travelers

2 Day in Hospital

12 Days Outside Hospital

Treatment cost starts from

USD 2000

Hospitals

About the Trans Urethral Resection of Bladder Tumor (TURBT)

Cancer in Bladder can be found to vary depending on the type of its origins. It can arise from the lining of the epithelium which is the inner lining of the urinary bladder or the urothelium. Rare forms of cancer are not of epithelial origins like the sarcoma or lymphoma. Tumours in bladder is found to be the 9th leading type of cancer in United States as per a survey conducted in 2012 with 430,000 new cases and mortality of 165000 deaths annually.

About Trans Urethral Resection of Bladder Tumor

The first and foremost question to ask is where is your bladder located? The sac like muscular urinary bladder is located in the pelvis region above the pelvic bone. It is connected to the kidneys through the two ureters that transfer the urine from the kidney to the bladder for storage. An abnormal growth of cells in the inner lining causes a tumour requiring diagnosis and then followed by a turbt surgery.

In most cases the tumour cannot be assessed in the primary stages. There are hardly any notable evidences found when the patient is harbouring a primary tumour.

The next stage is designated as Oa and categorized as a non invasive type papillary cancer.
In the stage next of the stage 0 or the carcinoma in situ the inner lining of the bladder is affected and is still considered non invasive.
In stage I the cancer has spread into the lining of the bladder further but has not affected the muscular wall of the bladder.
While in Stage II the inside part gets affected including the muscles of the bladder making it now invasive.
And when the cancer has spread enough in muscles and the tissues around the bladder like the reproductive organs it is considered to be in stage III.
And in the final or stage IV the cancer will spread to the lymph nodes affecting the organs around it as well.

Causes of developing a tumour in bladder

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

Symptoms of the TURBT

A person suffering from a tumour will experience mild sensation 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 of urinating too frequently. 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 is transurethral resection of bladder tumour?

This procedure aims at removing bladder tumours at an early stage by inserting a scope through the urethra leading to the bladder. In the TURBT procedure bladder cancer can be detected by the urologist and potentially allow the urologist to treat various other kinds of bladder related disorders. But 75% of the cancer of bladders that are detected are superficial in nature causing growth only on the surface of the walls of the bladder and does not get very deep. So this facilitates the surgeon to have the tumour removed at the bladder wall level causing no damage to the deeper layers of the organ. The information that is collected while executing the procedure will help the surgeons to decide the type of the abnormality of the tumour and the extent of the tumour. This later allows the urologist surgeons to decide whether further treatments will be required or not.

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 high chances 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 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. Antibiotic 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. 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 any more 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.

Pros and Cons

Pros

  • It is the first line treatment which can detect stage and do treatment of visible tumours.
  • It can control low risk lesions without cost incurrence and inefficiencies of the operating room

Cons

  • It is not effective for carcinoma in situ
  • Runs the chances of recurrence
  • Recovery period is long

Patient Stories

Frequently Asked Questions

How much does Trans Urethral Resection of Bladder Tumor (TURBT) cost in India?

The average cost of Trans Urethral Resection of Bladder Tumor (TURBT) in India starts from USD 2000 Only some of the best and certified hospitals in India perform Trans Urethral Resection of Bladder Tumor (TURBT) for international patients.

What are the factors affecting the cost of Trans Urethral Resection of Bladder Tumor (TURBT) in India?

Different hospitals have different pricing policy when it comes to the cost of Trans Urethral Resection of Bladder Tumor (TURBT) in India. There are many hospital that cover the cost of pre-surgical investigations of the patient in the treatment package. The Trans Urethral Resection of Bladder Tumor (TURBT) procedure in India includes the fees of the surgeon, hospitalization and anesthesia as well. A prolonged hospital stay due to delayed recovery, new diagnosis and complications after surgery may increase the cost of Trans Urethral Resection of Bladder Tumor (TURBT) in India.

Which are some of the best clinics in India for Trans Urethral Resection of Bladder Tumor (TURBT)t?

Trans Urethral Resection of Bladder Tumor (TURBT) in India is offered by multiple hospitals across the country. The top hospitals for Trans Urethral Resection of Bladder Tumor (TURBT) in India include the following:

  1. Sarvodaya Hospital
  2. Max Super Specialty Hospital, Vaishali
  3. Metro Hospital
  4. Max Super Speciality Hospital, Patparganj
  5. Sharda Hospital
  6. Manipal Hospital Dwarka
How many days does it take to recover post Trans Urethral Resection of Bladder Tumor (TURBT) in India?

After Trans Urethral Resection of Bladder Tumor (TURBT) in India, the patient is supposed to stay in guest house for another 14 days. During this time, the patient undergoes medical tests and consultations. this is to ensure that the treatment was successful and the patient us safe to return.

Which are some of the other popular destinations for Trans Urethral Resection of Bladder Tumor (TURBT)?

India is one of the most popular countries for Trans Urethral Resection of Bladder Tumor (TURBT) in the world. The country offers the best cost of Trans Urethral Resection of Bladder Tumor (TURBT), best doctors, and advanced hospital infrastructure. Some of the other destinations that are popular for Trans Urethral Resection of Bladder Tumor (TURBT) include the following:

CountryCost
IndiaUSD 2000
MalaysiaUSD 8000
PolandUSD 4500
ThailandUSD 6000
TunisiaUSD 6500
TurkeyUSD 4000
United Arab EmiratesUSD 11500
How much are the other expenses in India apart from the cost of Trans Urethral Resection of Bladder Tumor (TURBT)?

Apart from the cost of Trans Urethral Resection of Bladder Tumor (TURBT), the patient is also required to pay additionally for daily meals and guest house accommodation. The per day extra expenses in India per person are about USD 50 per person.

Which are the best cities in India for Trans Urethral Resection of Bladder Tumor (TURBT) Procedure?

Trans Urethral Resection of Bladder Tumor (TURBT) in India is offered in almost all metropolitan cities, including the following:

  1. Noida
  2. Mumbai
  3. New Delhi
  4. Gurugram
  5. Chennai
  6. Hyderabad
  7. Bangalore
Which are the best doctors offering Telemedicine for Trans Urethral Resection of Bladder Tumor (TURBT) in India?

There are many Trans Urethral Resection of Bladder Tumor (TURBT) surgeons who offer video telemedicine consultation to patients who need this treatment. Some of them include the following:

DoctorCostSchedule Your Appointment
Dr. Saurabh Kumar SinhaUSD 13Schedule Now
Dr. Tanuj Paul BhatiaUSD 14Schedule Now
How many days does one have to spend in the hospital for Trans Urethral Resection of Bladder Tumor (TURBT) in India?

After the Trans Urethral Resection of Bladder Tumor (TURBT) takes place, the average duration of stay at the hospital is about 2 days. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.

What is the average rating of Hospitals in India offering Trans Urethral Resection of Bladder Tumor (TURBT)?

The average rating for Trans Urethral Resection of Bladder Tumor (TURBT) hospitals in India is 3.9. Several parameters such as hospital infrastructure, pricing policy, quality of services, politeness of staff etc. contribute to the rating.

How many hospitals offer Trans Urethral Resection of Bladder Tumor (TURBT) in India?

There are more than 6 hospitals that offer Trans Urethral Resection of Bladder Tumor (TURBT) in India. These hospitals have proper infrastructure for the treatment of patients who require kidney transplant. Also, these hospitals follow the necessary guidelines as required by the medical associations for the treatment of Trans Urethral Resection of Bladder Tumor (TURBT) patients.

Who are the best doctors for Trans Urethral Resection of Bladder Tumor (TURBT) in India?

Some of the top doctors for Trans Urethral Resection of Bladder Tumor (TURBT) in India are:

  1. Dr. Anant Kumar
  2. Dr. Feroz Amir Zafar
  3. Dr. Neeraj Sharma
  4. Dr. Upwan kumar chauhan

FAQ's Related to India

What healthcare accreditation standards are followed in India?

To accredite healthcare providers, two standards exist in India. National Accreditation Board for Hospitals & Healthcare Providers standards (NABH) is one of these. A benchmark has been set by National Accreditation Board for Hospitals & Healthcare Providers (NABH). Joint Commission International, a not for profit organization giving certification to numerous healthcare institutions in India and abroad is the other standard.

Which are the popular multispecialty hospital groups in India?

Indian multispecialty hospitals offer world class medical treatment at affordable cost. Many different kinds of surgeries are performed at these hospitals and they have several specialties. These wonderful hospitals incorporate even the general medical needs of patients. We list here some of the best multispecialty hospitals in India:

  1. BLK Super Specialty, Delhi
  2. Medanta Medicity Hospital, Gurgaon,
  3. Apollo Hospital, Delhi
  4. Nanavati Hospital, Mumbai
  5. Artemis Hospital, Gurgaon
  6. Fortis Hospital, Noida
Why should I opt for healthcare in India?

India is gaining global attention for medical tourism due to affordable treatment costs and world-class infrastructure. Indian hospitals adhere to international health standards and use high end technologies that are at par with the western world. The strengths of Indian pool of doctors are their professionalism, competence and the high level of precision and accuracy they bring to the treatment. India has several things going for it that ensures that it is the most favored destination for medical travelers such as ease of communication, ease of travel, alternative treatment availability and visa assistance.

How is the quality of doctors in India?

The proficiency of Indian doctors is well considered the world over considering their excellent skills and the precision with which they apply the skills to treat patients. Newer healthcare challenges are met with great degree of confidence by doctors in India which translates to satisfied patients. Indian doctors have been educated at the best educational institutions all around the world. The doctors and surgeons in India provide you with the best of medical care and you feel right at home under their care.

When traveling to India for medical treatment, what essential documents do I need to carry along?

Once you have decided that you wish to come to India for medical purposes, documents come into the picture. The documents are of different kinds such as travel related, treatment related and finances. The documents needed for your medical treatment in India are as follows:

  1. Letter from the hospital indicating duration and purpose of treatment
  2. Medical reports,
  3. Passport,
  4. Tourist Visa Category MT,
  5. To and Fro flight tickets,
  6. Recent bank statement (incase of family bank statement proof of relationship).
What are the popular procedures available in India?

We bring to you the popular procedures being routinely accomplished in India:

  1. Valvular Heart Surgery
  2. Knee Replacement Surgery
  3. Bone Marrow Transplant
  4. Lung Transplant
  5. Thoracic Surgery
  6. LVAD Implantation
  7. Meniscus Repair Surgery
  8. CT Coronary Angiogram
  9. Hand Surgery
  10. Heart Blockage Treatment
  11. Hip Resurfacing Surgery
  12. Interventional Cardiography,
  13. Angioplasty
  14. Cochlear Implant
  15. Pacemaker Implantation
  16. Robotic Heart Surgery
  17. Coronary Heart Disease Treatment
  18. Coronary Angioplasty
  19. Bariatric Surgery
  20. Chemotherapy
  21. Ankle Replacement
  22. Kidney Transplant

The popular procedures that are being performed in India are being refined over time owing to an upgradation of various techniques and technologies. Procedures like heart surgeries, orthopaedic procedures, organ transplants and cancer treatment are extremely popular because the good quality of doctors who perform these operations and provide treatments at reasonable costs. Popular procedures being performed in India are on a growth path because of the increasing number of good hospitals and related healthcare facilities.

Is it mandatory to take vaccinations before going to India?

When traveling internationally, you need to get vaccinated and immunised with essential medicines. All medical tourists traveling to India need to get vaccinated before they leave their country to ensure their safety. The travel advisory issued by the Indian government or the hospital is the right source for complete information on vaccination guidelines. Your India visit would be safer if you have vaccinated yourself with hepatitis A, hepatitis B, Covid, typhoid fever, Japanese encephalitis, rabies, DPT, measles, yellow fever medicines.

What are the other facilities provided by hospitals?

The comfort and safety provided by Indian hospitals is unmatched among all medical tourism destinations. There are international patient care centers available in hospitals in India which aid and assist all international medical tourists. The hospitals are dedicated to meeting all the needs and requirements that you or your family members may have during your stay at the hospital. Some of the facilities available at hospitals in India are room reservation, visa assistance, embassy assistance, hotel services/apartment bookings, language interpretation services, tele-consults, and pre departure evaluation.

What are the major medical tourism destinations in India?

The capital cities of Delhi, Mumbai. Hyderabad, Bengaluru, Kolkata are medical tourism centers in India. The world class medical services in India make it a medical tourism hub. Owing to the availability of exceptional medical facilities, the patient care and all round medical care at affordable prices have made India an attraction for tourists. Medical tourism sector in India is growing well also owing to the heavy promotion by the Government of India in collaboration with the private players in the sector.

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