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

Treatment and Cost

14

Total Days
In Country

2 No. Travelers

2 Day in Hospital

12 Days Outside Hospital

Treatment cost starts from

USD 8000

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 Malaysia?

Trans Urethral Resection of Bladder Tumor (TURBT) cost in Malaysia starts from about $8000. In Malaysia, Trans Urethral Resection of Bladder Tumor (TURBT) is conducted across many multispecialty hospitals.

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

The cost of Trans Urethral Resection of Bladder Tumor (TURBT) in Malaysia may differ from one medical facility to the other. The top hospitals for Trans Urethral Resection of Bladder Tumor (TURBT) in Malaysia covers all the expenses related to the pre-surgery investigations of the candidate. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. 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 Malaysia.

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

There are many hospitals across the country that offer Trans Urethral Resection of Bladder Tumor (TURBT) to international patients. For quick reference, the following are some of the leading hospitals for Trans Urethral Resection of Bladder Tumor (TURBT) in Malaysia:

  1. Parkway Pantai
How many days does it take to recover post Trans Urethral Resection of Bladder Tumor (TURBT) in Malaysia?

After discharge from the hospital, the patient has to stay for another 14 days in the country for complete recovery. 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)?

Malaysia is considered to be one of the best places for Trans Urethral Resection of Bladder Tumor (TURBT) in the world. This is because of the availability of some of the best doctors, advanced medical technology and good hospital infrastructure. However, there are other countries as mentioned below that are popular for Trans Urethral Resection of Bladder Tumor (TURBT) as well:

CountryCost
IndiaUSD 2000
MalaysiaUSD 8000
PolandUSD 4500
ThailandUSD 6000
TunisiaUSD 6500
TurkeyUSD 4000
United Arab EmiratesUSD 11500
How much are the other expenses in Malaysia 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 Malaysia per person are about USD 50 per person.

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

The following are some of the best cities for Trans Urethral Resection of Bladder Tumor (TURBT) in Malaysia:

  1. Kuala Lumpur
How many days does one have to spend in the hospital for Trans Urethral Resection of Bladder Tumor (TURBT) in Malaysia?

The average duration of stay at the hospital after Trans Urethral Resection of Bladder Tumor (TURBT) is about 2 days for proper care and monitoring. This phase is important to ensure that the patient is recovering well and is clinically stable. During this time, several tests are performed before the patient is deemed suitable for discharge.

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

There are more than 1 hospitals that offer Trans Urethral Resection of Bladder Tumor (TURBT) in Malaysia. The above mentioned hospitals have the required infrastructure and a dedicated unit where patients can be treated. Additionally, these hospitals are known to comply with the international standards as well as local legal requirements for the treatment of patients.

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

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

  1. Dr. Datesh Daneshwar

FAQ's Related to Malaysia

Which are the popular multispecialty hospital groups in Malaysia?

Malaysia has many reputed hospital groups, such as:

  1. Beverly Wilshire Medical Group, Kuala Lumpur;
  2. Parkway Pantai, Kuala Lumpur;
  3. Gleneagles Hospital, Kuala Lumpur and,
  4. KPJ Ampang Puteri Specialist Hospital, Ampang.

These hospitals have state-of-the-art infrastructure and are well-equipped with advanced technologies. The hospitals in Malaysia are advanced due to more support from the government through investment in medical infrastructure. At par with most of the well-developed countries, the hospitals in Malaysia have outperformed in the last ten years with the help of well-trained staff and excellent facilities.

What healthcare accreditation standards are followed in Malaysia?

The healthcare systems in Malaysia receive accreditation from Malaysian Society for Quality in Health (MSQH) and JCI. Around 12 hospitals in Malaysia have received JCI certification and all of them follow the global standards. MSQH, Malaysia’s Ministry of Health, Association of Private Hospitals Malaysia and Malaysian Medical Association have come together to raise the standards of healthcare in Malaysia. A set of well-defined parameters are in place to gauge the performance of hospitals in Malaysia and several rounds of evaluation are involved in the accreditation process.

Why should I opt for healthcare in Malaysia?

Malaysia is an emerging destination for medical tourism and has an effective healthcare system backed by governmental participation and public-private healthcare collaboration. Malaysia has received worldwide recognition for its excellent healthcare system mainly attributed to advanced technology, modern infrastructure, and highly trained medical professionals. With world-class hospitals, Malaysia has made great achievements in the field of IVF and cardiology. Besides providing world-class treatment, Malaysia also offers an excellent travel experience through its food, cultural diversity, and heritage spots.

What is the quality of doctors in Malaysia?

The doctors in Malaysia have deep expertise in their specialty area and most of them are trained internationally before they start work in their home country. Malaysia has a very stringent evaluation process for doctor’s certification and all medical professionals have to complete three years of service in the public sector to ensure they have achieved an extreme level of professionalism. Although the doctors in Malaysia have expertise in performing a wide range of procedures, they have delivered excellent results in IVF and cardiology. Malaysia offers all medical tourists the facility of applying for eVisa for traveling to the country for treatment and reside there for a period of 30 days.

How to obtain a medical visa for Malaysia?

Medical tourists can apply for eVisa for traveling to Malaysia to get medical treatment and reside there for a period of 30 days under the Malaysian Healthcare Travellers Program (MHTP). eVISA is valid for only 3 months and can be availed from online platforms. You need to provide the following things to obtain an eVisa:

  1. Medical certificate issued by the registered medical practitioner
  2. Two recent passport size photographs
  3. Valid passport
  4. Details of the person travelling
  5. Two blank pages on the passport
  6. Travelling and accommodation details
  7. Civil status certificate

Medical Attendant Visa is granted to the person accompanying the patient to Malaysia and two persons are allowed to travel with the patient.

What are the popular procedures available in Malaysia?

Malaysia is known for providing some popular procedures, with high success rates, such as prostate surgery, cosmetic surgery, dental work, vitiligo treatment, cancer care, discectomy. Cancer treatment through gene therapy is becoming popular in Malaysia as this novel technique guarantees reduced treatment costs, shorter treatment time, minimal adverse effects of current chemo-drugs. Fertility hospitals and clinics have reported high success rates in IFV due to a number of reasons like the use of the latest technology, trained experts, adherence to strict protocols and safety standards, and a holistic treatment approach. Malaysia has also reported great achievements in orthopedic surgeries and some of the popular procedures include hip replacement, shoulder replacement, knee replacement surgery.

Which are the most popular cities in Malaysia for medical treatments?

Some of the leading medical tourism destinations in Malaysia are

  1. Malacca,
  2. Kuala Lumpur,
  3. Kota Kinabalu,
  4. Ampang, and
  5. Penang.

The cities in Malaysia deliver a world-class treatment experience through their superior hospitals backed with state-of-art infrastructure and talented doctors. A large number of medical tourists visit Kuala Lumpur and Penang every year because of several reasons like the availability of reasonably-priced hotel rooms, better transportation systems, and connectivity through airlines. A large number of hospitals, scenic value, rich culture, availability of translators, and safety of tourists also contribute to the popularity of these cities in medical tourism.

Is it mandatory to take vaccinations before going to Malaysia?

A medical tourist traveling to Malaysia needs to get below vaccines:

  1. Rabies
  2. Meningitis
  3. Covid
  4. Hepatitis A,
  5. Japanese encephalitis
  6. Hepatitis B,
  7. Typhoid
  8. Yellow fever
  9. Polio
  10. Measles

Before traveling to Malaysia, it is suggested to get pre-exposure vaccination against rabies. Also, children are more at more risk. Don’t forget to get Japanese encephalitis vaccination as is it common in Malaysia. If you are coming from a country with a high risk of Yellow Fever, you might need an International Certificate of Vaccination.