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

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.
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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

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Frequently Asked Questions

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

The cost of Trans Urethral Resection of Bladder Tumor (TURBT) in the United Kingdom may differ from one medical facility to the other. There are many hospital that cover the cost of pre-surgical investigations of the patient in the treatment package. The comprehensive Trans Urethral Resection of Bladder Tumor (TURBT) package cost includes the cost of investigations, surgery, medicines and consumables. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of Trans Urethral Resection of Bladder Tumor (TURBT) in the United Kingdom.

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

Trans Urethral Resection of Bladder Tumor (TURBT) in the United Kingdom is offered by multiple hospitals across the country. For quick reference, the following are some of the leading hospitals for Trans Urethral Resection of Bladder Tumor (TURBT) in the United Kingdom:

  1. Parkside Private Hospital
How many days does it take to recover post Trans Urethral Resection of Bladder Tumor (TURBT) in the United Kingdom?

After discharge from the hospital, the patient has to stay for another 14 days in the country for complete recovery. 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 Kingdom 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. Some of the other popular destinations 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 the United Kingdom apart from the cost of Trans Urethral Resection of Bladder Tumor (TURBT)?

Apart from the Trans Urethral Resection of Bladder Tumor (TURBT) cost, the patient may have to pay for additional daily expenses such as for guest house after discharge and meals. The per day cost in this case may start from USD 50 per person.

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

There are many cities that offer Trans Urethral Resection of Bladder Tumor (TURBT) in the United Kingdom, including the following:

  1. Bristol
  2. Norfolk
  3. London
  4. Kensington
How many days does one have to spend in the hospital for Trans Urethral Resection of Bladder Tumor (TURBT) in the United Kingdom?

After the Trans Urethral Resection of Bladder Tumor (TURBT) takes place, the average duration of stay at the hospital is about 2 days. 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 the United Kingdom?

There are more than 1 hospitals that offer Trans Urethral Resection of Bladder Tumor (TURBT) in the United Kingdom. Such clinics have the required infrastructure and a dedicated unit where patients can be treated. These hospitals comply with all the rules and regulations as dictated by the regulatory bodies and medical association in United Kingdom

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

Some of the top medical specialists for Trans Urethral Resection of Bladder Tumor (TURBT) in the United Kingdom are:

  1. Dr. James Bellringer
  2. Dr. Christopher Anderson
  3. Dr. Matthew Perry
  4. Dr. Nadine Coull
  5. Dr. Pieter J Le Roux

FAQ's Related to United Kingdom

What healthcare accreditation standards are followed in the United Kingdom?

The healthcare systems in the United Kingdom receive accreditation from QHA Trent and United Kingdom Accreditation Forum. QHA Trent has been established to focus on improving the quality of the healthcare industry and reducing all kinds of risks for patients, healthcare providers, and the general public. Special attention is given to quality improvement through the merging of various accreditation programs, regulatory bodies, and other inspection and improvement processes. The accreditation bodies have a comprehensive framework for evaluating healthcare facilities and some of the quality aspects are administrative management, patient care, and performance management.

Why should I opt for healthcare in the United Kingdom?

The United Kingdom attracts a large number of medical tourists every year because of its world-class healthcare infrastructure and medical technology innovations. In the last few years, the country has seen tremendous growth in the medical tourism industry, mostly due to more investment in technology and communication and transport. There are some strong reasons for the popularity of the United Kingdom’s healthcare system, such as the availability of a wide range of procedures, appointments and same-day diagnosis, and rapid response multi-disciplinary review teams. Populated with state-of-art hospitals like London Bridge Hospital, BUPA Cromwell, and Great Ormond Street, the country boasts of world-class treatment through highly trained doctors and advanced technology.

What is the quality of surgeons in the United Kingdom?

The United Kingdom has world-class doctors who undergo mandatory professional training to gain deep expertise in their specialty area. The quality of doctors in the country matches the international standards. Majority of them have been educated at premier universities. There are many skilled surgeons who have the capability to handle even the most complicated cases with great ease, particularly those associated with knee replacement, gallbladder removal, and hip replacement. The country also has some of the most renowned cardiologists, neurologists, gynecologists, and orthopedic doctors who have handled critical cases effectively.

How to obtain a medical visa in the United Kingdom?

The first thing that you need to check is whether you require a visa to visit the United Kingdom for treatment because a visa is not required for some countries. Electronic UK visa waiver program is available for countries like Kuwait, Oman, Qatar, and United Arab Emirates. The documents required for applying for a medical visa include:

  1. Passport
  2. Visa fee receipt
  3. Two passport size photographs of the candidate
  4. Civil status of the candidate traveling
  5. Travel details
  6. Medical prescription signed by a registered medical practitioner
  7. A letter of acceptance from the doctor
  8. An estimate of stay period.

If you need further treatment, you can extend your visa by 6 months.

Which are the popular multispecialty hospital groups in United Kingdom?

The United Kingdom has a large number of world-class hospitals, as listed below:

  1. Royal Berkshire NHS Hospital
  2. The Portland Hospital
  3. BUPA Cromwell Hospital
  4. The Queens Square Private Hospital
  5. Royal Brompton Private Care
  6. King Edwards VII's Hospital
  7. The London Clinic
  8. London Bridge Hospital
  9. Priory Hospital London

The hospitals deliver excellent results with a wide spectrum of medical procedures and provide a unique experience by letting patients recover in a comfortable, modern environment. Some other reasons for the popularity of these hospitals are the efficiency of the nurses, doctors, and other healthcare staff, the food options, the safety aspects, the quality control, patient care, low mortality rate. If you want to find the best hospital in the United Kingdom, you can refer to a few ratings and rankings systems. Currently, Royal Berkshire NHS Hospital holds the top position in the United Kingdom and is ranked 67 in the world.

What are the popular procedures available in the United Kingdom?

The United Kingdom has received worldwide recognition for its excellence in procedures like:

  1. Radiation therapy
  2. Knee Replacement
  3. Hip Replacement
  4. Chemotherapy
  5. Immunotherapy

Breast reduction and breast augmentation are the most sought-after procedure in the country. The success rate of cancer treatment in the United Kingdom is high due to a number of reasons, such as technological advancements, clinical research, and well-trained doctors. Hip replacement surgery is also becoming popular in the United Kingdom. According to a report, about 50,000 people seek a hip replacement in the country every year.

Which are the most popular cities in the United Kingdom for medical treatment?

The most popular cities that are preferred by medical tourists in the United Kingdom are:

  1. Oxford
  2. Manchester
  3. York
  4. London
  5. Cambridge
  6. Edinburgh
  7. Inverness
  8. Belfast

Edgbaston Medical Quarter is the fastest growing healthcare hub which has a regional cluster of world-class hospitals offering quality treatment. Birmingham with modern infrastructure, top hospitals, better connectivity, and skilled doctors, has become a leading city for medical tourism. London is considered a hub of healthcare in the United Kingdom with a large pool of top-class hospitals offering a large number of procedures with a high success rate.

Is it mandatory to take vaccinations before going to the United Kingdom?

Yes, vaccines are recommended or required for the United Kingdom. The CDC and WHO recommend the below vaccines for the country:

  1. Hepatitis A
  2. Hepatitis B
  3. Rabies
  4. Meningitis
  5. Polio
  6. Measles
  7. Mumps and rubella (MMR)
  8. Tetanus, diphtheria and pertussis
  9. Chickenpox
  10. Shingles
  11. Pneumonia and influenza

For effective immunization, a person should get vaccinated at least 8 weeks before the date of travel. You are allowed to travel without getting vaccinated if you are suffering from some illness that restricts vaccination. You must check travel advisory issued by the government or contact your hospital in the United Kingdom for complete information on vaccination.