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TURBT · Transurethral Resection of Bladder Tumor in Bangkok
TURBT is the first-line surgery for bladder cancer · a scope passed through the urethra removes the tumor under direct vision, providing both definitive diagnosis (tumor grade and stage) and complete tumor removal in a single procedure. For non-muscle-invasive bladder cancer, TURBT alone is curative for many patients. Muscle-invasive disease found at TURBT triggers further treatment planning.
Our solutions
Why patients choose TURBT
What Our Patients Say
Male Surgery
The difference was night and day. I hadn’t felt a strong stream like that in years.
Wachirawit, 67
Male Surgery
I was nervous about surgery, but the relief was almost instant. Sleeping through the night feels incredible again.
Khom, 64
Book your consultation today.
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How to Prepare for TURBT
Imaging staging
CT urogram or MRI to assess for upper-tract involvement and nodal disease before TURBT.Cystoscopy mapping (if known tumor)
Pre-op cystoscopy maps tumor size, number, and location.Urine culture
Treat any urinary infection before surgery.Stop blood thinners
5-7 days before surgery only if cleared by your prescribing doctor.Pre-anesthesia assessment
Bloods, ECG, chest X-ray as indicated by age and comorbidities.Fast pre-surgery
No food or water for 6-8 hours before the procedure.
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What Happens During TURBT
Anesthesia
Spinal or general anesthesia.Cystoscope insertion
A resectoscope is passed through the urethra into the bladder.Tumor inspection
The entire bladder lining is inspected · tumor size, number, and location confirmed.Tumor resection
The tumor is removed in fragments using an electrosurgical loop or bipolar/laser resection. Resection includes the tumor base down to muscle to confirm depth of invasion.Hemostasis and immediate intravesical chemotherapy
Bleeding points are cauterized. A single dose of intravesical mitomycin C is often instilled at the end to reduce recurrence (for low/intermediate-risk disease).Catheter placement
Urinary catheter for 24-48 hours · removed before discharge once urine clears.
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About TURBT
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Complete First-TURBT Approach
Incomplete first TURBT increases recurrence and progression risk · our urology team follows current guidelines for complete resection including muscle sampling, with re-TURBT at 4-6 weeks where indicated.
Single-Dose Intravesical Chemotherapy
Per current guidelines, eligible patients receive a single peri-operative dose of mitomycin C to reduce recurrence by approximately 40% at first surveillance.
Coordinated Pathology and Treatment Planning
Pathology results are reviewed promptly · BCG induction, intravesical chemotherapy, or major surgery is planned without delay based on findings.
Private, Discreet Recovery
Confidential care, WhatsApp recovery support, English-language pathology and treatment-plan reports.
Frequently asked questions
Will I need more treatment after TURBT?
Depends on what the pathology shows. Non-muscle-invasive low-grade disease: TURBT plus surveillance cystoscopy may be all you need. Non-muscle-invasive high-grade disease: TURBT plus intravesical BCG or chemotherapy. Muscle-invasive disease: further treatment planning (cystectomy or chemoradiation) is needed.
How often will I need follow-up cystoscopy?
For most non-muscle-invasive bladder cancer, cystoscopy every 3 months for the first 2 years, then less frequently. Frequency tapers based on risk category and findings at each cystoscopy.
What are the risks of TURBT?
Most common: blood in urine (1-2 weeks), urinary frequency and urgency (a few days), urinary infection. Less common: bladder perforation (rare, usually managed with extended catheter time), need for repeat TURBT for incomplete resection.
How long is recovery?
Most patients return to light activity within a few days. The catheter is removed within 24-48 hours. Avoid heavy lifting for 2-3 weeks. Sexual activity can resume once blood in urine has cleared.
How much does TURBT cost in Bangkok?
Cost depends on tumor burden, anesthesia choice, hospital admission length, and whether intravesical chemotherapy is given. Book a consultation for a personalized quote.
COMPLETE BLADDER TUMOR DIAGNOSIS AND TREATMENT
COMPLETE BLADDER TUMOR
DIAGNOSIS AND TREATMENT
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