Лечение рака мочевого пузыря в Израиле
Programs

Bladder Cancer Treatment in Israel

According to modern science, the main cause of bladder cancer is the effect of carcinogens eliminated with urine on the bladder mucosa. The main risk factors for this type of cancer thus are:

  • Exposure to carcinogenic chemicals (such as plastics, dyestuff, aluminum, etc.)
  • Smoking
  • Chronic bladder inflammation (urinary infections or cystitis)
  • Previous cancer treatment
  • Family history of malignant diseases

Common symptoms include dysuria (painful urination), hematuria (blood in urine), frequent urination and nocturia.

Please find below the bladder cancer treatment in Israel program:

Diagnosis

The initial stage is non-invasive diagnostics to determine the size of the tumour and extent of spread, includes the following:

  1. Blood workup (CBC, CMP, tumour markers, coagulation factors, general and microscopic urine analysis, urinary culture)
  2. Biopsy revision
  3. CT urography (with contrast)
  4. Optional: Radioisotope renography (DMSA, MAG3)
  5. Urologic oncologist consultation

These procedures will take 4 business days to complete.

The second stage includes an intravesical investigation, bladder tumour removal and further treatment.

Treatment

Depending on the result of your work up, there are several further options for the bladder cancer treatment:

Option 1

If the tumour does not extend past the bladder, the treatment of choice will be a surgery, followed by 6 weeks of intravesical BCG or mitomycin treatment (starts two weeks following the operation).

Price of the surgery (TURBT + bladder biopsy) includes:

  • Routine preoperative preparation including an ECG, chest X-ray and an anesthesiologist consultation
  • Operative procedure and up to 2 days of hospitalization
  • Disposable surgical materials
  • Express biopsy and definitive histopathological study

It is advised you remain in Israel for approximately 5 days following your discharge from the hospital.

Option 2

If the tumour invades the bladder wall and pelvic cavity mets are suspected, systemic chemotherapy will be scheduled following the transurethral resection of the mass (samples will be sent for histopathological study). If necessary, a subsequent radical bladder resection with immediate neobladder reconstruction (usually using a fragment of your small intestine) will take place.

Price of treatment program includes:

  1. TURBT + bladder biopsy.
  2. 4-6 cycles of system chemotherapy (every 3 weeks, on days 1 and 8)

** Please note that you can undergo chemotherapy in your country of residence.

  1. Radical cystectomy and urinary diversion by ileal conduit.

Option 3

If no evidence of pelvic invasion is found, but the tumour infiltrates the ureter, retrograde pyelography and biopsy will be performed alongside the bladder tumour resection. If possible, the ureter tumour will be also resected during the same surgery and ureteroplasty performed (TURBT, bladder biopsy, distal ureterectomy + reimplantation).

If ureter tumour resection is contraindicated due to risk of the disease spreading into the pelvic cavity, a 6-week long chemotherapy course is scheduled prior to the ureteroplasty.

The cost of a TURBT with ureteroplasty is made up of:

  • Routine preoperative preparation including an ECG, chest X-ray and an anesthesiologist consultation
  • Operative procedure and up to 5 days of hospitalization at Assuta Tel Aviv Hospital
  • Disposable surgical materials
  • Express biopsy and definitive histopathological study

It is advised you remain in Israel for approximately 10 days following your discharge from the hospital.

** Procedure can be performed utilizing the robotic da Vinci Surgical System. This will significantly decrease post-operative pain and shorten your recovery period.

Please Note

The suggested treatment (by a specialist recommended by us) will take place at Assuta Medical Center, which is the best hospital in Israel. If you would like, we can instead arrange treatment for you at one of Israel’s public hospitals. In such case, the cost of the surgery (not including the logistics package) will be lower by 20 to 30 per cent. However, while we can guarantee that the surgery will be performed by one of that hospital’s top experts, the decision regarding which physician will depend on the hospitals’ schedule.