Doctors perform Cystoscopy and TURBT (Transurethral Resection of a Bladder Tumour) to simultaneously diagnose, remove and perform a biopsy on a tumour tissue.
How is Cystoscopy and TURBT performed?
Before the procedure:
Medical professionals may administer general anaesthesia before performing a Cystoscopy and TURBT. They may advise the patient to avoid consuming food or water 12 hours before the procedure in such a case.
However, if they use local anaesthesia,the patient will be awake during the course but will not feel any pain.
During Cystoscopy and TURBT:
The doctor lubricates the cystoscope and inserts it through the urethra into the bladder to the tumour site. They then insert a resectoscope through the cystoscope. The resectoscope is a rigid instrument that helps resect the bladder tumour.
The health care professionals may send the extracted tumour sample to a pathology lab for further testing.
After removing the tumour, the doctor may attempt to kill any remaining tumour cells by burning the surrounding area using an electric current. This process is known as fulguration or cauterisation.
After the procedure:
Also, the doctor may insert chemotherapeutic medicine into the bladder using the cystoscope. They may advise the patient to wear a catheter for a few days after the procedure.
Cost of Cystoscopy and TURBT
Here are some essential details of the procedure.
| Description | Cost |
|---|---|
|
Average cost of performing Cystoscopy + TURBT in India |
Rs. 3,70,000 [1] |
|
Average cost of performing Cystoscopy + TURBT in Hyderabad |
Rs 3,50,000 [1] |
| Description | Cost |
|---|---|
|
Number of days in the hospital |
1-2 days |
|
Type of surgery |
Minor, minimally invasive |
|
Anaesthesia type |
General or local anaesthesia |
|
Recovery |
Six weeks |
|
Duration of the procedure |
15 – 45 minutes |
|
Surgery |
Muscle-invasive |
Risks and Complications of Cystoscopy and TURBT
Cystoscopy and TURBT is a relatively safe procedure. It has a low risk of urinary tract infections, excessive or prolonged bleeding for a few days after the procedure, and bladder perforation. However, if they administer general anaesthesia, side effects likenausea, vomiting, confusion, and sore throat can occur.
Who needs a Cystoscopy and TURBT?
If a patient is diagnosed with early-stage bladder cancer he might need a Cystoscopy and TURBT.
TURBT is a first-line diagnostic test and simultaneous treatment option for early-stage bladder cancer. Usually, the sample resected during a TURBT is subjected to pathological tests to characterise the tumour and administer appropriate treatment accurately.
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Frequently Asked Questions about Cystoscopy and TURBT
Cystoscopy involves the insertion of a cystoscope into the urinary bladder via the urethra to visualise, diagnose, and treat bladder and urethral problems. The cystoscope is a hollow tube with a camera.
TURBT involves inserting a resectoscope through the hollow cystoscope to remove the tumour or a part of it.
Yes. Medical professionals can perform TURBT to biopsy the tumour tissue sample. They subject the sample to additional pathological tests to gain more information regarding the tumour and provide appropriate treatment.
TURBT may eliminate early-stage bladder cancer. However, doctors usually prescribe follow-up tests or another TURBT to be sure and destroy any remaining cancer cells.
The second TURBT is recommended in cases with T1 high-grade bladder cancer to identify patients who may need to undergo an immediate radical cystectomy. Radical cystectomy is the removal of the bladder.
It takes about six weeks for the bladder to heal completely. The recovering individual should avoid vigorous activities (including sexual activity) for the first two weeks. After two weeks, they could initiate daily activities and sexual activity in moderation.
The patient should avoid coffee (or any caffeine product) for 3-5 days after TURBT as it contains bladder irritants.
The patient is required to wear a catheter until he stops seeing blood in urine. The catheter is usually removed 1-3 days after TURBT.
The TURBT procedure takes about 15 to 40 minutes.
Yes, no incision is made for the cystoscope to reach the target site in the bladder. The resectoscope makes some minimal incisions to resect the tumour.
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