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.
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.
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.
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.
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.
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.
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.
Trans Urethral Resection of Bladder Tumor (TURBT) cost in Thailand starts from about $6000. In Thailand, Trans Urethral Resection of Bladder Tumor (TURBT) is conducted across many multispecialty hospitals.
Trans Urethral Resection of Bladder Tumor (TURBT) package cost in Thailand has different inclusions and exclusions. Some of the best hospitals for Trans Urethral Resection of Bladder Tumor (TURBT) offer a comprehensive package that covers the end-to-end expenses related to investigations and treatment of the patient. The comprehensive Trans Urethral Resection of Bladder Tumor (TURBT) package cost includes the cost of investigations, surgery, medicines and consumables. 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 Thailand.
There are many hospitals across the country that offer Trans Urethral Resection of Bladder Tumor (TURBT) to international patients. The following are some of the most renowned hospitals for Trans Urethral Resection of Bladder Tumor (TURBT) in Thailand:
While the speed of recovery may vary from patient to patient, they are still required to stay for about 14 days after discharge. This duration of stay is recommended to complete all the necessary follow-ups and control tests to ensure that the surgery was successful.
While Thailand is considered to be one of the best destinations for Trans Urethral Resection of Bladder Tumor (TURBT) owing to the standard of Hospitals, and expertise of doctors; there are a select few destinations which provide comparable quality of healthcare for the procedure Some of the other destinations that are popular for Trans Urethral Resection of Bladder Tumor (TURBT) include the following:
|United Arab Emirates||USD 11500|
Apart from the Trans Urethral Resection of Bladder Tumor (TURBT) cost, there are a few other daily charges that the patient may have to pay. These are the charges for daily meals and accommodation outside the hospital. The per day cost in this case may start from USD 50 per person.
The following are some of the best cities for Trans Urethral Resection of Bladder Tumor (TURBT) in Thailand:
Patients can also avail to attend a video teleconsultation with the Trans Urethral Resection of Bladder Tumor (TURBT) surgeon in Thailand. the following are some of the top doctors offering Trans Urethral Resection of Bladder Tumor (TURBT) in Thailand:
|Doctor||Cost||Schedule Your Appointment|
|Dr. Suchart Chaimuangraj||USD 81||Schedule Now|
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. 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.
There are more than 1 hospitals that offer Trans Urethral Resection of Bladder Tumor (TURBT) in Thailand. These hospitals have proper infrastructure for the treatment of patients who require kidney transplant. Additionally, these hospitals are known to comply with the international standards as well as local legal requirements for the treatment of patients.
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