Average Cost
$
1658
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Procedures

Cystoscopy and Removal of Bladder Tumour

About
Removal of Bladder tumour(s), large or small, under video control
Initial data sourced from Medibank / Royal Australasian College for Surgeons Surgical Variance Reports
Use of My Dr Bill is subject to the Disclaimer
1
people have submitted their costs

National Costs

If an out-of-pocket is charged, it’s an average of $1560
0
Reported Average
$1
$100
Nationally, if an out-of-pocket is charged by a specialist, it’s an average of $1560
0
Reported Average
$1
$100

Cost Breakdown

out-of-pocket costs
Percentage %
Cost $
Main specialist
-
-
The anaesthetist
-
-
The surgical assistant
-
-
Imaging doctor
-
-
Pathology doctor
-
-
Other specialists
-
-
Total other
-
-
Total
100%
-
out-of-pocket costs
Percentage %
Cost $
Main specialist
-
-
The anaesthetist
-
-
The surgical assistant
-
-
Imaging doctor
-
-
Pathology doctor
-
-
Other specialists
-
-
Total other
-
-
Total
100%
-
out-of-pocket costs
Percentage %
Cost $
Main specialist
-
-
The anaesthetist
-
-
The surgical assistant
-
-
Imaging doctor
-
-
Pathology doctor
-
-
Other specialists
-
-
Total other
-
-
Total
100%
-
out-of-pocket costs
Percentage %
Cost $
Main specialist
-
-
The anaesthetist
-
-
The surgical assistant
-
-
Imaging doctor
-
-
Pathology doctor
-
-
Other specialists
-
-
Total other
-
-
Total
100%
-
out-of-pocket costs
Percentage %
Cost $
Main specialist
-
-
The anaesthetist
-
-
The surgical assistant
-
-
Imaging doctor
-
-
Pathology doctor
-
-
Other specialists
-
-
Total other
-
-
Total
100%
-
out-of-pocket costs
Percentage %
Cost $
Main specialist
-
-
The anaesthetist
-
-
The surgical assistant
-
-
Imaging doctor
-
-
Pathology doctor
-
-
Other specialists
-
-
Total other
-
-
Total
100%
-
out-of-pocket costs
Percentage %
Cost $
Main specialist
-
-
The anaesthetist
-
-
The surgical assistant
-
-
Imaging doctor
-
-
Pathology doctor
-
-
Other specialists
-
-
Total other
-
-
Total
100%
-
out-of-pocket costs
Percentage %
Cost $
Main specialist
-
-
The anaesthetist
-
-
The surgical assistant
-
-
Imaging doctor
-
-
Pathology doctor
-
-
Other specialists
-
-
Total other
-
-
Total
100%
-
out-of-pocket costs
Percentage %
Cost $
Main specialist
-
-
The anaesthetist
-
-
The surgical assistant
-
-
Imaging doctor
-
-
Pathology doctor
-
-
Other specialists
-
-
Total other
-
-
Total
100%
-

Costs by State

State
Average OOP $
ACT
-
NSW
-
NT
-
QLD
-
SA
-
TAS
-
VIC
-
WA
-
State
Average OOP $
ACT
-
NSW
-
NT
-
QLD
-
SA
-
TAS
-
VIC
-
WA
-

Helpful Information

Flexible or Rigid?

Cystoscopy used to always involve a rigid instrument, this was pretty uncomfortable so a general anaesthetic was usually needed. In recent years it has often been done with a flexible instrument, which doesn’t need a general anaesthetic. The drawback of flexible cystoscopy is that if something is found that needs to be treated it often can’t be managed through the flexible cystoscope. The patient then needs to have a general anaesthetic, usually on another day. A flexible cystoscopy is best used when the procedure is a checkup and there is not a high likehood of finding something nasty.

Hospital stay – what is involved?

Admission is usually on the day of surgery, you will be checked in by the nursing staff  who will record your medical details for the hospital’s records and help you change into theatre dress. You will usually seethe anaesthetist before the start of the operating list. He/she will take a brief medical history and do an examination to make sure you are fit for the anaesthetic and may order a premed – usually a mild sedative. You can expect to be wheeled into the operating theatre on a trolley.

After the operation you will wake up in the recovery room. You will have a tube in your arm, the “drip” and another in your bladder, the catheter. You will often feel as if you want to pass urine. If this happens, tell the nurse. He/she will check to ensure that the catheter is not blocked and reassure you.

Usually the catheter is removed the next day and you will be discharged.

How does a bladder tumour show up?

When patients notice bleeding in the urine their doctor will often suspect that it is coming from a bladder tumour. Tests will be ordered, including scans. There are many other causes of bleeding, but cystoscopy is almost always done, mainly to be sure that there is no tumour present. Bladder tumours occasionally cause other voiding difficulties also.

If a bladder tumour is found an attempt will usually be made to remove it through the cystoscope, without major surgery. The tumour will be sent to the Pathologist and his report is very important in determining what further treatment is required. If the tumour is advanced or aggressive further treatment is needed, possibly even removal of the bladder.

What about Followup?

If a tumour has been removed through a cystoscope, followup is essential. Recurrences are common, particularly if the patient continues smoking. There is often a checkup in six weeks with a further biopsy, and then regular checkups for at least five years to ensure there is no recurrence of the tumour. These followups will involve further tumour removals if they arise.

As time goes on, if there have not been further recurrences, the checkups get less of a hassle for the patient, they may not need a general anaesthetic and it takes only a half day in hospital.

Cystoscopy - What happens if they find something?

Often some minor procedure can be done, like a biopsy or a cautery, without much inconvenience to the patient. They can go home the same day. Occasionally something is found that can be treated at the time through a cystoscope, without the need for any other surgery. Bigger operations like this usually need a catheter (a tube draining the bladder) to be left in place and the patient usually needs to stay in hospital for at least one night.

Cystoscopy - What is a Cystoscopy?

Cystoscopy means looking inside the bladder by passing an instrument with a video camera through the urethra (the channel that the urine comes out).  Like other “scopes” the patient does not know in advance whether something will be found so the procedure may turn into something more major.

Cystoscopy - Why is a Cystoscopy done?

A cystoscopy is used when a patient’s symptoms suggest something is wrong in the bladder, and also to monitor progress of treatment. The commonest symptom requiring cystoscopy is bleeding in the urine. Other symptoms include pain in the bladder, problems with urinary control and certain infections.  The thing we are looking for is often a bladder tumour. In spite of the great advances in medical imaging a cystoscopy is still the best way of looking for bladder tumours.

Cystoscopy is also used to access the bladder for a number of other types of treatment (eg kidney stones, tumours)  but it is not usually charged for separately in these cases.

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