TURBT - Transurethral Resection of Bladder Tumor

Who Is The Right Candidate For TURBT?

The decision to proceed with TURBT surgery is typically made by your doctor based on your symptoms and test results. Broadly speaking, you might be considered a suitable candidate for TURBT if:

• You have been diagnosed with non-muscle-invasive bladder cancer.
• Your tumour is visible and can be accessed through a cystoscope.
• Your doctor believes that removing the tumour can significantly improve your prognosis and quality of life.

Bear in mind that every case is unique. Your doctor will take into account your overall health, the specifics of your bladder cancer, and, importantly, your preferences when considering TURBT.

What Are The Benefits Of TURBT?

TURBT is an indispensable procedure for the diagnosis and treatment of bladder cancer. Let’s delve into the diverse benefits that this procedure offers:

• Complete Removal of Tumour: TURBT ensures complete removal of non-invasive bladder tumours, decreasing the risk of the cancer becoming invasive.
• No Skin Incisions: As the procedure is performed through the urethra, there is no requirement for any skin incisions, making it a less invasive treatment method.
• Lower Risk of Injury: TURBT has a very low risk of causing injury or infection in the bladder.
• Single Procedure: One of the notable advantages of TURBT is that it can both diagnose (biopsy) and treat tumours, reducing the number of procedures you would need to undergo.

How To Prepare For TURBT?

Preparation is key for any surgical procedure, including TURBT. Here are some essential steps to prepare for this procedure:

• Pre-Operative Instructions: Make sure to inform your doctor about all the medications you are currently taking, including over-the-counter and herbal supplements. Dress comfortably on the day of the procedure.
• Anaesthesia: The TURBT procedure is commonly performed under general or spinal anesthesia to ensure your comfort during surgery.

What Are The Recovery Tips and Precautions To Follow After TURBT?

Recovery after TURBT requires adequate care and certain precautions. Here are some helpful tips to ensure an optimal recovery:

• Hospital Stay: Typically, you might need to stay in the hospital for 1-2 nights with a urinary catheter in place.
• Initial Recovery: You can leave the hospital once you are able to pass urine on your own after the catheter is removed, which usually takes 1-2 days.
• Post-Operative Care: It’s crucial to drink plenty of water to help flush out the bladder, avoid strenuous activity for about a week, gradually build up to regular exercise after the first week, and meticulously follow instructions for managing blood clots and other potential complications.
• Driving and Work: Don’t resume driving until you’re confident you can control your vehicle safely, and check with your insurance policy and healthcare team for guidance. Generally, you should be able to return to work after about 2 weeks.
• Sexual Activity: It would be prudent to avoid sexual activity for 2 weeks following the procedure.

Potential Risks Or Complications Associated With TURBT

Like any surgical procedure, TURBT isn’t devoid of potential risks or complications. It’s important to be aware of these possibilities:

• Pain and Bleeding: You may experience pain and bleeding for up to two weeks post-procedure.
• Infection: There’s a risk of bladder infection, which can typically be managed with antibiotics.
• Reaction to Anaesthesia: You might experience an adverse reaction to the anaesthesia used.
• Blood Clots: There is a risk of deep vein thrombosis (DVT) and other blood clots.
• Difficulty Passing Urine: Some patients may face difficulty passing urine or have a narrowing of the urethra (urethral strictures).
• Additional Treatments: If the cancer has spread, you might require additional treatments such as chemotherapy.

Despite these potential complications, TURBT is a safe and effective procedure for diagnosing and treating bladder cancer. It is however essential to follow post-operative care instructions meticulously for a smooth recovery.

What Is The Cost Of TURBT In India?

The cost of the TURBT surgery in India varies. The following factors can affect the cost:

• Type of Hospital: The choice of hospital can significantly influence the cost of your TURBT procedure. Specialised hospitals might charge more owing to their advanced facilities and expert teams.
• Location: Metro cities might have higher treatment costs as compared to smaller towns and rural areas due to the high standard of living and operational costs involved.
• Surgeon’s Expertise: A skilled and experienced surgeon often charges more. However, they generally have high success rates and fewer complications post-surgery.
• Post-Surgery Care: If there are complications post-surgery or prolonged healing period would mean extended hospital stay, thus increasing the overall cost.

Is TURBT Covered Under Insurance?

Health insurance in India typically covers the cost for TURBT procedure. However, the coverage can depend on your specific policy terms and conditions, as well as the type of surgery recommended by your urologist.

Typically, insurance plans that cover surgical procedures will cover TURBT surgery as well. However, there may be caps on the amount claimable based on individual policy terms. Additionally, pre-existing conditions and waiting periods may also affect whether you can claim insurance for your treatment right away.

One important thing to note is that whilst TURBT procedure itself might be covered by insurance, expenses related to post-operative care such as medication, physiotherapy, or follow-up appointments may or may not be covered. Therefore, it is always advised to thoroughly read and understand your insurance policy terms or talk to your insurance provider for clarity.