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

Treatment and Cost

14

Total Days
In Country

2 No. Travelers

2 Day in Hospital

12 Days Outside Hospital

Treatment cost starts from

USD 6000

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

More Related Information

Some of most highly rated doctors for Trans Urethral Resection of Bladder Tumor (TURBT) are:

Following are some of the highest rated doctors available for Online Video Consultation for Trans Urethral Resection of Bladder Tumor (TURBT):

Doctor NameCostBook Appointment
Dr. Suchart Chaimuangraj81 USDBook Now
Dr. Sanjay Gogoi23 USDBook Now
Dr. Rajinder Yadav30 USDBook Now
Dr. Vimal Dassi20 USDBook Now

Procedures related to Trans Urethral Resection of Bladder Tumor (TURBT) :

Most highly rated hospitals for Trans Urethral Resection of Bladder Tumor (TURBT) in Other Destinations are:

Frequently Asked Questions

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

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.

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

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.

Which are some of the best clinics in Thailand 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. The following are some of the most renowned hospitals for Trans Urethral Resection of Bladder Tumor (TURBT) in Thailand:

  1. Bangpakok 9 International Hospital (BPK 9)
How many days does it take to recover post 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.

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

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:

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

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.

Which are the best cities in Thailand 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 Thailand:

  1. Bangkok
  2. Krabi
Which are the best doctors offering Telemedicine 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:

DoctorCostSchedule Your Appointment
Dr. Suchart ChaimuangrajUSD 81Schedule Now
How many days does one have to spend in the hospital for Trans Urethral Resection of Bladder Tumor (TURBT) in Thailand?

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.

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

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.

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

Some of the most sought after doctors for Trans Urethral Resection of Bladder Tumor (TURBT) in Thailand are:

  1. Dr. Prasy Ahmed Abdalla
  2. Dr. Paiboon Iemsupakkul
  3. Dr. Phanu Tanjapatkul
  4. Dr. Boonlert Sukwatanasinit
  5. Dr. Santapon Chamnarnprai

FAQ's Related to Thailand

What healthcare accreditation standards are followed in Thailand?

The Thai healthcare system has abundance of resources, from technological, human resources and financial resources. The private healthcare and public healthcare work in tandem to create the strong healthcare infrastructure in Thailand. The quality of healthcare and its standards are maintained by the Institute of Hospital Quality Improvement and Accreditation (HQIA) as it gives Thai HA Accreditation to healthcare organisations in Thailand. The quest to get Thai HA accreditation by healthcare organisations leads to a susbstantial improvement in the service delivery levels.

Which are the popular multispecialty hospital groups in Thailand?

The Thai healthcare system is based on the personal touch they provide to their patients and the adherence to providing excellent clinical care. The several multispecialty hospitals in Thailand have made it ease for any medical tourist to make the best of choices available. The specialst doctors in these hospitals are committed to providing you with the best of treatments available. Some of these multispecialty hospital groups are:

  1. Bangkok Dusit Medical Services (BDMS),
  2. Bumrungrad International Hospital, Bangkok,
  3. Vejthani Hospital, Bangkok,
  4. BNH Hospital, Bangkok,
  5. Yanhee Hospital, Bangkok,
  6. Sikarin International Hospital, Bangkok,
  7. Princ Hospital Suvarnabhumi, Bangkok,
  8. Samitivej Sukhumvit Hospital, Bangkok,
  9. Bangkok International Hospital, Bangkok,
  10. The Bangkok Christian Hospital, Bangkok,
  11. Phyathai Hospitals, Bangkok,
  12. Saint Louis Hospital, Bangkok and,
  13. Central General Hospital, Bangkok.
Why should I opt for healthcare in Thailand?

Thailand is a leading healthcare destination in southeast Asia which has been chosen by several medical travellers over the years. International patient services add value to your treatment experience in Thailand. All facilities such as embassy and airport transfer assistance, international insurance coordination, interpreters and medical coordinators and concierge services can be found at one place in Thai hospitals. The entire spectrum of treatment procedures are present in Thailand hospitals, be it plastic surgery or tertiary care options.

What is the quality of doctors in Thailand?

No matter Southeast Asia or the world, Thailand doctors are considered to be one of the best in terms of their expertise. Thai doctors are experienced and skilled in what they do. Two buzzwords are innovation and quality care that mean Thailand doctors excel. Experience in treating international patients has meant that Thai doctors are sought after from the world over.

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

Once you have decided that you wish to come to Thailand for medical purposes, documents come into the picture. Travel documents, medical documents and ready finances are needed for your Thailand visit The required documents are outlined here:

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

Thailand is an attractive medical tourism destination. It not only has tourist attractions but provides medical treatment at affordable costs. There are many popular procedures available in Thailand. Following is the list of some of the most popular procedures in Thailand:

  1. Eyelid surgery procedures,
  2. Rhinoplasty,
  3. Breast augmentation,
  4. Laser treatment,
  5. Dental treatments,
  6. Spine and orthopaedic treatments,
  7. Cardiac treatments,
  8. Infertility treatments,
  9. Bariatric surgery,
  10. Ophthalmology and eye surgery.
Is it mandatory to take vaccinations before going to Thailand?

It is important that you get your immunisations and vaccinations before you travel internationally. Ofcourse, you need to get immunised or vaccinated when coming to Thailand as well. These vaccinations recommended by CDC and WHO are as follows. Japanese Encephalitis, Measles, Mumps and Rubella (MMR), TDAP (Tetanus, Diphtheria and Pertussis), Chickenpox, Shingles, Pneumonia, Influenza, Rabies, Meningitis, Polio, Hepatitis A, Hepatitis B, Typhoid, Cholera and Yellow Fever.

What are the other facilities provided by hospitals in Thailand?

The hospitals in Thailand are equipped with the latest technologies and these are applied with precision to treat patients. Your travel, transfer and accomodation needs are coordinated at the center for International patients at Thailand hospitals. Integrated medical support services and emergency services are present at Thailand hospitals. Thailand hospitals bring to you several facilities such as radiology services, operating theaters, Intensive care units, cardiac care units, diagnostic laboratory and pharmacies.

What are the major medical tourism destinations in Thailand?

The combination of its excellent existing healthcare infrastructure and the various tourist attractions make Thailand a viable medical tourism destination. The affordable costs of various treatments means you can combine your holiday with getting treatment done at prices much lower than just the treatment costs in many countries. There are several wonderful medical tourism destinations in Thailand which are a reflection of Thailand;s natural beauty, culture and excellence of healthcare facilities. The cities of Bangkok and Phuket are the best medical tourism destinations in Thailand.