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

Treatment and Cost

14

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12 Days Outside Hospital

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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

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

Trans Urethral Resection of Bladder Tumor (TURBT) package cost in Lithuania has different inclusions and exclusions. The Trans Urethral Resection of Bladder Tumor (TURBT) package cost usually includes all the expenses related to pre and post surgery expenses of the patient. The comprehensive Trans Urethral Resection of Bladder Tumor (TURBT) package cost includes the cost of investigations, surgery, medicines and consumables. Post-surgical complications, new findings and delayed recovery may have an impact on the total Trans Urethral Resection of Bladder Tumor (TURBT) cost in Lithuania.

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

There are several best hospitals for Trans Urethral Resection of Bladder Tumor (TURBT) in Lithuania. The top hospitals for Trans Urethral Resection of Bladder Tumor (TURBT) in Lithuania include the following:

  1. Kardiolita Hospital, Vilnius
  2. Kardiolita Hospital, Kaunas
How many days does it take to recover post Trans Urethral Resection of Bladder Tumor (TURBT) in Lithuania?

After Trans Urethral Resection of Bladder Tumor (TURBT) in Lithuania, the patient is supposed to stay in guest house for another 14 days. This period is important to conduct all the follow-up tests to ensure that the surgery was successful and the patient can go back to the home country.

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

Lithuania is undoubtedly one of the best countries for Trans Urethral Resection of Bladder Tumor (TURBT) in the world. It offers the best medical expertise and good patient experience at an affordable cost. 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 Lithuania apart from the cost of Trans Urethral Resection of Bladder Tumor (TURBT)?

There are certain expenses additional to the Trans Urethral Resection of Bladder Tumor (TURBT) cost that the patient may have to pay for. These are the chanrges for daily meals and hotel stay outside the hospital. These charges starts from USD 50 per person.

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

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

  1. Vilnius
  2. Kaunas
How many days does one have to spend in the hospital for Trans Urethral Resection of Bladder Tumor (TURBT) in Lithuania?

After Trans Urethral Resection of Bladder Tumor (TURBT), the patient is supposed to stay for about 2 days in the hospital for recovery and monitoring. The patient is subjected to several biochemistry and radiological scans to see that everything is okay and the recovery is on track. After making sure that patient is clinically stable, discharge is planned.

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

There are more than 2 hospitals that offer Trans Urethral Resection of Bladder Tumor (TURBT) in Lithuania. These clinics have proper infrastructure for the treatment of patients who require kidney transplant. These hospitals comply with all the rules and regulations as dictated by the regulatory bodies and medical association in Lithuania

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

Some of the renowned medical specialists for Trans Urethral Resection of Bladder Tumor (TURBT) in Lithuania are:

  1. Dr. Algirdas Zalimas
  2. Dr. Paulius Bosas

FAQ's Related to Lithuania

What healthcare accreditation standards are followed in Lithuania?

In Lithuania, the hospitals are being accredited by JCI or Joint Commission International as it is a well respected international organisation which provides accreditation to hospitals the world over. The hospitals in Lithuania who are implementing a 360* experience for the patients and are combining it with the best healthcare are achieving the JCI accredition status. The hospitals that meet the safety and quality standards of JCI achieve the certification from the organisation in Lithuania. The Joint Commission International or JCI accreditation signals good service quality and the healthcare organisations that get the certification are guided by JCI towards continued performance improvement.

Which are the popular multispecialty hospitals in Lithuania?

We have outlined here for your convenience some good multispecialty hospitals in Lithuania: .

  1. Jonava Hospital, Jonava
  2. Kardiolita Hospital, Vilnius and Kaunas
  3. Hospital of Lithuanian University of Health Sciences Kauno klinikos, Kaunas
  4. Vilnius University Hospital, Vilnius

It speaks to the overall development of the multidisciplinary hospitals in Lithuania that it has a wide scope in terms of the kinds of procedures that can be performed here. In the multidisciplinary hospitals in Lithuania, all your healthcare concerns can be resolved through a skilled teams of healthcare experts. In the multidisciplinary hospitals in Lithuania, you can be assured of the implementation of advanced technologies at affordable costs to give the best medical treatment.

Why should I opt for healthcare in Lithuania?

You must choose to get your healthcare in Lithuania because as an overseas patient you will have better access to quality healthcare than anywhere else. Healthcare in Lithuania is an efficient process which makes the patients coming here feel safe and secured in the hands of able healthcare professionals. A patient centric approach which translates to the best of healthcare solutions dominates the healthcare ecosystem in Lithuania. The hospitals in Lithuania are well known for their focus on medical research and procedures which are life saving.

What is the quality of doctors in Lithuania?

The medical practitioners in Lithuania are making increased efforts towards getting higher success rates and lower side effects which reflects on the quality of doctors in the country. The specialists in the hospitals in Lithuania are not only well educated and experienced but have gained prominence as specialists in their fields. The doctors in Lithuania are proficient in not just their work but also in people skills due to their immense experience in treating international patients." The patients that are being treated by the doctors in Lithuania are working with the advantage of great application of technologies to get good health.

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

The essential documents that you need to carry with you on your medical travel to Lithuania are listed below:

  1. Passport
  2. Medical Visa
  3. Health Reports/Records
  4. Credit Cards/Debit Cards/Online payment options
  5. Bank statement for the last six month period
  6. Correspondence between hospitals in home country and Lithuania
  7. Accomodation details

The large number of medical tourists coming to Lithuania for their medical treatment everyday are managed well by a wonderfully efficient travel and transfer process aided by your well prepared and categorised travel documents. The documents that you need to carry for your medical travel to Lithuania are related to travel, accommodation and your medical treatment. Please ensure that you have created a checklist with which you are tallying all the documents required for your travel to Lithuania.

What are the popular procedures available in Lithuania?

We bring to you the popular procedures being performed in the hospitals in Lithuania:

  1. Knee replacement
  2. Hip replacement
  3. Sclerotherapy
  4. Breast augmentation
  5. Vitrectomy

Lithuania, Orthopaedic procedures like Knee Replacement and Hip Replacement are done with finesse and are showing great results for patients. Symptoms such as pain, cramps and swelling, varicose veins and spider veins are being treated well through procedures such as sclerotherapy in Lithuania.

Is it mandatory to take vaccinations before going to Lithuania?

Protect yourself from potential health disasters through vaccinations considered mandatory by WHO or World Health Organisation and CDC or Centers for Disease Control and Prevention. We bring to you the recommended vaccinations that must be taken before you board your flight to Lithuania:

  1. Hepatitis A
  2. Measles
  3. Covid19
  4. Rabies
  5. Hepatitis B

It is essential that you keep into account the right age and prior and emergent medical conditions before deciding on your recommended vaccinations before your medical travel to Lithuania. We bring to you the vaccinations that you must take before your medical travel to Lithuania.

  1. Diphtheria-Tetanus-Pertussis
  2. Chickenpox (Varicella)
  3. Flu (influenza)
  4. Measles-Mumps-Rubella (MMR)
  5. Polio
What are the major medical tourism destinations in Lithuania?

Klaipeda, Kaunas and Vilnius are three major medical tourism destinations in Lithuania. Lithuania is considered one among the top ten medical tourism destinations in the world as it brings in the best in health service quality at low prices. Lithuania is a highly recommended medical tourism destination because of the personal and hospitable approach of its well qualified healthcare and hospitality personnel. When in Lithuania, you can be assured of a great recovery experience through the medical spas and rehabilitation centers in the country.

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