Trans Urethral Resection of Bladder Tumor (TURBT) cost in United Arab Emirates

Statistical reports gathered in the year 2013 shows more than 10,000 individuals diagnosed with bladder cancer in the United States. Among them, successful results were obtained from the individuals who were diagnosed in the early stages and treated with TURBT. The treatment offers a reliable and successful approach. However, in some cases, the malignant tumor may only get removed after repeated TURBT treatment. This is because, a number of cases have shown recurrence of tumors post TUR. 

What is Trans Urethral Resection of Bladder Tumor (TURBT)?

Trans Urethral Resection of Bladder Tumor Treatment (TURBT) is one of the advanced procedures for treating tumors in the primary stage. Mostly in case of malignant tumors, TURBT offers a satisfactory solution and provides ample time for further treatments. Implementing TURBT in the initial stage, not only removes the tumor but also prevents the tumor from spreading to the nearby majority organs. The procedure is executed by inserting fine tube through the urethra which then travels to the target position and removes the tumor in the initial stages. 

Symptoms of Patient Undergoing TURBT Treatment

The patient undergoing a TURBT procedure may have to stay for a minimum of one to two days. However, one may require one to two weeks of bed rest, during which the individual may experience certain symotoms like: 

  • Asymptomatic hyponatremia
  • Changes in the ECG, 
  • Fatigue
  • Nausea
  • Vomiting
  • Loss of appetite
  • Confusion
  • Visual impairment 

Factors Affecting the Cost of TURBT

In general, a traditional TURBT treatment cost may vary from a minimum of $3000 to a maximum of $6000. However, the prices may vary due to some key factors, on which the procedure depends: 

  • The country where the procedure is being performed
  • The extent of number of procedures required
  • Underlying health conditions, if any
  • Type of healthcare facility availed
  • Proficiency and experience of the surgeons involved.
Treatment and Cost

14

Total Days
In Country

2 No. Travelers

2 Day in Hospital

12 Days Outside Hospital

Treatment cost starts from

USD 11500

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 the United Arab Emirates?

While depending upon a range of factors, the minimum cost for Trans Urethral Resection of Bladder Tumor (TURBT) in the United Arab Emirates is USD 11500. JCI, TEMOS are just some of the accreditations which top hospitals in the United Arab Emirates hold where a Trans Urethral Resection of Bladder Tumor (TURBT) is conducted.

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

The cost of Trans Urethral Resection of Bladder Tumor (TURBT) in the United Arab Emirates may differ from one medical facility to the other. The top hospitals for Trans Urethral Resection of Bladder Tumor (TURBT) in the United Arab Emirates 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. There are many things that may increase the cost of Trans Urethral Resection of Bladder Tumor (TURBT) in the United Arab Emirates, including prolonged hospital stay and complications after the procedure.

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

There are many hospitals that perform Trans Urethral Resection of Bladder Tumor (TURBT) in the United Arab Emirates. Some of the best hospitals for Trans Urethral Resection of Bladder Tumor (TURBT) in the United Arab Emirates include the following:

  1. Thumbay Hospital, Ajman
  2. Iranian Hospital
  3. Kings College Hospital
How many days does it take to recover post Trans Urethral Resection of Bladder Tumor (TURBT) in the United Arab Emirates?

After Trans Urethral Resection of Bladder Tumor (TURBT) in the United Arab Emirates, the patient is supposed to stay in guest house for another 14 days. 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)?

the United Arab Emirates 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. 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 the United Arab Emirates 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 the United Arab Emirates per person are about USD 50 per person.

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

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

  1. Sharjah
  2. Abu Dhabi
  3. Dubai
Which are the best doctors offering Telemedicine for Trans Urethral Resection of Bladder Tumor (TURBT) in the United Arab Emirates?

Patients who are interested in availing telemedicine consultation before they travel for Trans Urethral Resection of Bladder Tumor (TURBT) in the United Arab Emirates can opt for the same. There are many Trans Urethral Resection of Bladder Tumor (TURBT) surgeons who offer video telemedicine consultation, including the following:

DoctorCostSchedule Your Appointment
Dr. Sleiman GebranUSD 173Schedule Now
How many days does one have to spend in the hospital for Trans Urethral Resection of Bladder Tumor (TURBT) in the United Arab Emirates?

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. 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 the United Arab Emirates offering Trans Urethral Resection of Bladder Tumor (TURBT)?

The average rating for Trans Urethral Resection of Bladder Tumor (TURBT) hospitals in the United Arab Emirates is 4.5. This rating is automatically calculated on the basis of several parameters such as the infrastructure of the hospital, quality of services, nursing support and other services.

How many hospitals offer Trans Urethral Resection of Bladder Tumor (TURBT) in the United Arab Emirates?

There are more than 3 hospitals that offer Trans Urethral Resection of Bladder Tumor (TURBT) in the United Arab Emirates. The above mentioned clinics have the required infrastructure and a dedicated unit where patients can be treated. 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 the United Arab Emirates?

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

  1. Dr. Hamdy Abdel Mawla About aleb
  2. Dr. Tameer Ali Ali Abouelgreed
  3. Dr. Ashraf N Botros
  4. Dr. Professor Essam Riad
  5. Dr. Mana Al Hashimi

FAQ's Related to United Arab Emirates

What healthcare accreditation standards are followed in United Arab Emirates?

The healthcare accreditation standards followed in UAE are provided by DHCA (Dubai Healthcare City Authority) and JCI (Joint Commission International). In UAE, the excellent hospital infrastructure, medical care quality and service delivery quality is overseen by Dubai Healthcare City Authority and Joint Commission International. Known as the governing body of Dubai Healthcare City, DHCA streamlines hospital facilities in UAE whereas JCI is a non profit accredition body present in over 100 countries. JCI, an international arm of The Joint Commission was established in the year 1998 and The Dubai Healthcare City Authority was launched in May 2011.

Which are the popular multispecialty hospital groups in UAE?

There are numerous multidisciplinary hospital groups in UAE which are listed below for your convenience:

Dubai

  1. Emirates Hospital
  2. Mediclinic
  3. Medcare
  4. Aster Hospitals
  5. NMC Healthcare
  6. Thumbay Hospital
  7. Medeor
  8. Saudi German Hospital
  9. American Hospital Dubai
  10. Canadian Specialist Hospital
  11. King's College Hospital Dubai
  12. Zulekha Hospital
  13. Al Zahra Hospital
  14. Burjeel Hospital

Abu Dhabi

  1. LLH Hospital
  2. Burjeel Hospital
  3. Life Care Hospital

It is no secret that UAE multispecialty hospitals are taking care of patients and doing so at low costs. The multispecialty hospital groups in UAE enable you to get all your intended treatments done at one place owing to the availability of all kinds of specialties under one roof. The medical travellers coming to UAE find it easy to navigate through the systems of the multispecialty hospitals' because of the hospitality displayed and ease of dealing with the people responsible in administration and in medical fields.

Why should I opt for healthcare in UAE?

Healthcare in UAE should be your natural option with its fast growing healthcare sector over the last five decades adding many hospitals, healthcare centers, clinics, rehabilitation centers and related infratstructure. It is the futuristic vision and the rightful implementation of the same by the UAE government that should make the country a natural choice for you to get your treatment done. The healthcare organisations in UAE function seamlessly, are well organised and the care they provide is unmatched and of really high standards. There is a healthy symbiotic relationship between the travel ecosystem which includes hotels, transport logistics and aviation and the healthcare providers in UAE making it a strong contender as a medical tourism destination.

How is the quality of doctors in UAE?

It is mandatory for the doctors in UAE to obtain a license to practice their chosen area of medicine thus ensuring that only the best among them get to practice medicine and treat people. Doctors working in the hospitals in UAE are qualified, experienced and stay up to date with the latest developments in their area of expertise. The personal touch they bring to their skill helps patients feel comfortable. It is absolutely essential to note that UAE doctors interact with and treat a vast range of patients from different nationalities.

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

It is important to have all the required documents with you before you travel to any country for medical treatment. It is to your benefit if all your documents are kept at one place before you get ready for your medical travel to the UAE. Documents that you need to carry on your journey to UAE as a medical traveller are for your medical treatment and for your travel. Please ensure that you carry essential documents to UAE as mentioned below.

  1. Medical history
  2. Test reports
  3. Bank statements
  4. Passport
  5. Visa
  6. Medical records and doctor referral notes.
What are the popular procedures available in UAE?

Popular procedures being performed in UAE are as follows.

  1. Orthopaedics
  2. Fertility treatment
  3. Ophthalmology
  4. Dermatology
  5. Cosmetic surgery

It is important to note that cosmetic surgery is a fast growing procedure in UAE and in that category botox and fillers are most common. Another procedure for which the government in UAE is changing laws and building a positive environment are Fertility treatments. These treatments are done by the best of doctors at affordable prices.

Is it mandatory to take vaccinations before going to UAE?

Pre travel vaccinations are important before your UAE travel. Do get the vaccination done one month prior to your travel. It is the origin country or destination country (if you are traveling from UAE), length of stay, health conditions and current doctors' prescriptions that decides the vaccination name and required dosage The yellow fever vaccine is required for Central Africa and South American countries.

What are the other facilities provided by hospitals in the United Arab Emirates?

Medical tourism in UAE is made attractive by many factors and one of them includes the facilities provided by hospitals. It is the seamless functioning of public and private healthcare systems that give wonderful additional hospital facilities. Major hospitals in UAE have an international patient center which helps coordinate the visit of medical tourists to UAE. International patient centers are making the medical travellers lives easy by helping them in many ways such as:

  • Payment and financial assistance
  • Hospital transfers
  • Tourism guidance
  • Interpretation services
  • Visa related assistance
  • Liasoning for flights,local travel and hotels
  • Coordination for reports and treatment plans
  • Appointment scheduling
What are the major medical tourism destinations in UAE?

Medical tourism is an industry which is on the fast track of growth in UAE. Abu Dhabi, the capital city of UAE and Dubai, the commercial center of UAE are both the center of attraction as the premier medical tourism destination. Both in terms of healthcare infrastructure and the sharp technological upgradations, Dubai and Abu Dhabi continue to grow and reach newer heights. In UAE, investment in the healthcare sector from private firms and the government with a strong framework in health regulation is an advantage for medical tourism.

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