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Treatment of Bladder Cancer

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for urinary bladder cancer
 from  784
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
 from  22078
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
 from  21628

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnostic tests for urinary bladder cancer
1971
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
38064
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
38342

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Adult and Pediatric Urology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostic tests for urinary bladder cancer
1826
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
36317
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
36249

Urology Hospital Munich-Planegg Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to Focus magazine, the Urology Hospital Munich-Planegg Munich ranks among the top specialized German hospitals! The hospital was founded in 1970 by Dr. Rudolf Castringius. During this time, it became the leading provider of male health care in Germany. In addition, the hospital has the status of one of the best medical
Diagnostic tests for urinary bladder cancer
4431 help3931
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
33948
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
34157

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Urology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnostic tests for urinary bladder cancer
3974
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
33760
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
33778

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Urology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnostic tests for urinary bladder cancer
6186
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
51443
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
51273

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Diagnostic tests for urinary bladder cancer
0
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
0
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
0

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Urology

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostic tests for urinary bladder cancer
3129
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
38120
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
38581

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

Department of Adult and Pediatric Urology

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Diagnostic tests for urinary bladder cancer
4442
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
38361
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
38393

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Urology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Diagnostic tests for urinary bladder cancer
3064
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
38062
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
38249

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Diagnostic tests for urinary bladder cancer
4566
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
38256
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
38174

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Urology

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnostic tests for urinary bladder cancer
2671
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
34064
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
34164

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Urology, Andrology

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Diagnostic tests for urinary bladder cancer
1976
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
36199
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
35914

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Urology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnostic tests for urinary bladder cancer
2761
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
33856
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
34051

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostic tests for urinary bladder cancer
3523
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
44585
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
44721

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Urology

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Diagnostic tests for urinary bladder cancer
1915
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
36188
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
36206

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Adult and Pediatric Urology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Diagnostic tests for urinary bladder cancer
3093
Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction
38402
Treatment of bladder cancer with radical cystectomy and bladder reconstruction
38616
| from Booking Health GmbH

Content

  1. Stage 1
  2. Stage 2
  3. Stage 3
  4. Radiation therapy
  5. Chemotherapy
  6. Immunotherapy
  7. Stage 4
  8. Invasive bladder cancer
  9. How much does the treatment abroad cost?
  10. How much is the treatment abroad?
  11. Undergoing bladder cancer treatment abroad with Booking Health

 

Bladder cancer is the tenth most widespread oncological disease in the world. In terms of the frequency of recurrence, i.e. in 70-75% of cases, malignant neoplasms of this localization surpass almost all other types. Bladder cancer is a malignant neoplasm, but it is one of the few cancers that with timely diagnosis making and treatment has a high probability of a favorable outcome.

Stage 1

 

When diagnosing stage 1 bladder cancer, we talk about the formation of a malignant tumor. It is attached to the mucous membrane of the organ but does not affect its muscle layer.

Despite the small size and absence of the neoplasm spreading, bladder cancer (stage 1) can be characterized by a high degree of invasiveness. At this stage, symptoms are usually absent. If stage 1 bladder cancer is diagnosed, the prognosis is good. Recovery is achieved in 100% of patients. Cancer care mainly consists of conservative therapeutic methods.

Stage 2

 

Unlike stage 1, when cancer cells do not go beyond the mucous membrane, at stage 2 bladder cancer invades the muscle layer. However, there are no metastases at this stage.

The second stage of bladder cancer can develop according to different scenarios.

Cancer cells may not penetrate the transitional epithelium. In this case, further treatments are not required. Cancer cells may penetrate the transitional epithelium but do not penetrate the muscle tissue. In this case, continued cancer care is required.

In stage 2 bladder cancer treatment, the prostate gland and vesicles are often removed in male patients. In female patients, the uterus and ovaries are additionally excised. In foreign hospitals, after similar interventions for stage 2 bladder cancer treatment, patients are offered various care options for the formation of a reservoir for urine accumulation.

If a patient with stage 2 bladder cancer refuses surgery or it is not indicated for medical reasons, there are alternatives like systemic chemotherapy. Chemotherapy is also prescribed during stage 2 bladder cancer treatment when it was not possible to remove the whole tumor during the operation.

As a method of cancer care, complex treatments with external and internal radiation therapy (brachytherapy) can be chosen.

Stage 3

 

The third stage of bladder cancer is established when the cancer cells invade the organ wall. In this case, the next stage is the spread of the pathological process to reproductive organs. With timely, comprehensive, and sufficient cancer care, only 20-50% of patients manage to achieve recovery at this stage.

If stage 3 bladder cancer is diagnosed, the patient typically has a vivid clinical picture that includes:

  • Severe pain when urinating
  • Pulling pains in the lower abdomen
  • Presence of blood in the urine
  • Swelling of the external genital organs and lower extremities

If stage 3 bladder cancer is diagnosed, the prognosis depends on the timeliness and quality of medical care provided. An operation is performed in bladder cancer treatment to eliminate the primary tumor. It is often supplemented by other methods of cancer care.

Radiation therapy

 

Radiation therapy targets the cancer cells with rays or high-energy particles, which makes it possible to achieve the destruction of cancer cells or slow down their growth and multiplication. External or internal radiation therapy, or a combination of the two techniques, can be used in bladder cancer treatment.

With internal radiation therapy, a radioactive substance is placed directly inside the patient's body, as close to the tumor as possible. External radiation therapy, as the name implies, acts externally.

Radiation therapy can be used as a stand-alone treatment option, and in combination with chemotherapy or surgical treatments. The irradiation procedure is painless and does not cause discomfort. However, radiation treatment options are connected with side effects, including severe nausea and vomiting, dizziness and headache, hair loss up to complete baldness. In most cases the symptoms disappear on their own after completion of the course of treatments. In order to improve the well-being of patients during therapy, oncologists prescribe special drugs that alleviate side effects.

Chemotherapy

 

Chemotherapy medications stop the uncontrolled division of cancer cells and reduce the tumor size. Cancer stops progressing, and the relapse frequency is reduced significantly. Chemotherapy is used both in early-stage oncology and in advanced inoperable tumors.

In bladder cancer treatment, chemotherapy solutions are most often injected straight to the bladder. With this approach, cytostatics act locally, and chemotherapy side effects are less pronounced. Most often, chemotherapy is prescribed in combination with surgical resection of the primary tumor.

Chemotherapy treatments may have a rather serious impact on the body. Therefore, this therapy has some contraindications. To detect contraindications, doctors of specialized hospitals conduct laboratory tests and instrumental examinations. If the risk factor can be eliminated, additional treatments are prescribed. Only then the appropriate chemotherapy regimen is selected. In this case, treatment is carried out in hospitals, under the supervision of medical staff.

Immunotherapy

 

Today, immunotherapy is an effective method for advanced bladder cancer treatment.

Immunotherapy has been used in clinical practice for more than three decades. Due to the action of immunotherapy, the immune system is stimulated and begins to attack and destroy cancer cells. Immunotherapy is usually administered after radiotherapy.

In recent years, active research and development of new immunotherapy drugs, i.e. checkpoint inhibitors, have been carried out all over the world. These drugs are protein molecules normally produced by the body to prevent the attack of the immune system on the healthy tissues. Cancer cells express these molecules on their surface, thus suppressing the immune response and, as a shield, defending against the immune system.

In immunotherapy, drugs belonging to the group of monoclonal antibodies are used primarily.

Stage 4

 

At stage 4 of bladder cancer, cancer cells affect distant body organs. The prognosis for stage 4 is unfavorable.

General symptoms of stage 4 bladder cancer include impaired urinary function and pain syndrome occurring in the areas affected by cancer cells. Besides, at stage 4 of bladder cancer diagnosis, people are exhausted, suffering a significant weight loss, and weakened immunity with concomitant infectious diseases, anemia, severe intoxication with products of tumor growth and decay.

Stage 4 bladder cancer is characterized by the inoperability of the neoplasm. Therefore, at stage 4, the most appropriate methods of bladder cancer treatment are systemic drug therapies and chemoembolization.

In cancer care, chemoembolization is considered a minimally invasive method with high effectiveness. It is administered in eligible patients with stage 4 of the diagnosis.

The procedure implies introducing the anticancer drugs into the artery that feeds the tumor. Technical capabilities of super-selective catheterization of arterial vessels allow focused administration of anticancer drugs without the toxic effect observed in the systemic chemotherapy. Symptoms such as hair loss and immune system suppression that are typical for chemotherapy aren’t typical for chemoembolization.

Chemoembolization is well tolerated by patients with metastatic bladder cancer, as it carries minimal risk of complications development during treatment and after its completion. Mild side effects of the manipulation are transitory, recovery happens within a short period of time.

Invasive bladder cancer

 

The differentiation of non-invasive and invasive bladder cancer is vital in bladder cancer treatment decision making.

Tumors tend to recur after surgical treatments, with further transformation into invasive bladder cancer. Invasive bladder cancer, in turn, has rapid progression and is prone to metastasizing. Spreading of separate cancer cells is observed in many invasive bladder cancer cases.

Invasive bladder cancer doesn’t occur at the first stage of the pathology. Invasive bladder cancer tends to progress actively and, thus, needs radical cancer care. Invasive bladder cancer is fatal if it isn't treated.

Complete removal is a radical invasive bladder cancer treatment. The organ itself and adjacent tissues are subject to excision in invasive bladder cancer treatment.

Radiation therapy belongs to alternative treatments for invasive bladder cancer. Irradiation is mostly carried out in patients who need sparing bladder cancer treatments. Irradiation for invasive bladder cancer is indicated to patients with preserved bladder functioning. External radiotherapy is a method of choice for patients with invasive bladder cancer.

Brachytherapy is another therapeutic alternative for external irradiation for invasive bladder cancer. This method of invasive bladder cancer treatment includes insertion of radiation sources inside the body, straight to the neoplasm. This creates conditions for its maximum action on invasive bladder cancer and minimal influence on healthy tissues.

The technique shows satisfactory outcomes in patients with invasive bladder cancer, with up to 46% chances for recovery. With the subsequent chemotherapy for invasive bladder cancer a disease-free survival is up to 56%.

When invasive bladder cancer treatment is over, patients need continuous medical surveillance.

Hospitals for bladder cancer treatment abroad

 

Hospitals that offer bladder cancer treatment often do not undergo certification. This means that the search has to be focused on large hospitals with certified oncology centers. It’s better to get information on the ratings of the hospitals and clinicians practicing specific medical disciplines (e.g. in Germany such ratings are published in the "Focus" magazine). Clinical ratings are represented by the quantity of patients annually admitted to the hospitals and the quantity and results of medical procedures performed.

If there is an indication for a cystectomy, you need to get the information about what techniques are available in selected hospitals.

Hospitals below are recommended as the best hospital for treatment:

  • University Hospital of Ludwig Maximilian University of Munich
  • University Hospital Ulm
  • Urology Hospital Munich-Planegg Munich
  • University Hospital Frankfurt am Main
  • Charite University Hospital Berlin

You can find more information at the Booking Health website.

How much does the treatment abroad cost?

 

Keep in mind that prices for cancer care procedures are influenced by the peculiarities of the diagnosis, presence comorbidities or concomitant pathologies detected during the initial examination at hospital, patient’s response to treatment, etc.

Generally, the price for partial or total resection starts at 27,628 EUR.

The cost of treatment with radical resection with bladder reconstruction starts at 21,628 EUR.

The cost of treatment with radical cystectomy with lymphadenectomy starts at 29,350 EUR.

The cost of treatment with the da Vinci robotic system starts at 29,502 EUR.

To get information on prices, please contact Booking Health.

Undergoing bladder cancer treatment abroad with Booking Health

 

The professionalism of foreign oncologists and urologists and the level of oncological care make a contribution to favorable results of bladder cancer treatment abroad, even at advanced stages.

The most convenient way to undergo treatment abroad is to contact a medical tourism operator. As one of the most transparent medical tourism companies in the world, Booking Health does everything to make your treatment abroad as comfortable as possible. Booking Health negotiates with the chosen hospital, assists in getting a medical visa, books accommodation and flights, and provides a fair cost of treatment.

To get more information about treatment abroad, leave a request on the Booking Health website.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko




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