


Bladder cancer Treatment in St. Luke’s International Hospital
About the clinic
Bladder cancer care at St. Luke's International Hospital in Tokyo, Japan, includes diagnostic testing, surgery, chemotherapy, and radiation therapy. Its urology program has offered da Vinci Xi robot-assisted cystectomy since 2011, and the hospital renewed JCI accreditation in 2024.
Bladder cancer diagnosis
The diagnostic pathway can include urine tests, imaging, and procedures to examine the bladder and confirm tumor type.
- Urine cytology: Examines urine for cancer cells.
- Bladder ultrasound: Screens for bladder tumors.
- Cystoscopy: Examines the inside of the bladder.
- CT and MRI: Help assess the cancer’s stage.
- Upper urinary tract assessment: Checks the renal pelvis and ureters.
- Biopsy or TURBT: Removes tissue for pathological diagnosis. TURBT can also remove superficial bladder tumors.
Surgery and urinary diversion
Robot-assisted radical cystectomy removes the bladder through minimally invasive surgery. It may be considered for muscle-invasive cancer without metastasis and selected cases uncontrolled by other treatments. St. Luke’s has performed the procedure since 2011 using the da Vinci Xi system.
During cystectomy, surgeons create a new route for urine. The clinic offers three diversion options:
- Orthotopic neobladder: Allows natural urination and requires urethral preservation. It may suit younger patients with good kidney function.
- Ileal conduit: Uses about 20 cm of the ileum to create a stoma. It is an established diversion method.
- Ureterocutaneostomy: Brings the ureters directly to the skin. It may suit older patients or those with other health conditions.
Urinary diversion can be performed inside the body or through an extracorporeal method. The clinic prefers intracorporeal diversion, which may lower ureteral stricture risk and speed bowel recovery.
Open radical cystectomy is another option for muscle-invasive cancer without metastasis. Compared with minimally invasive surgery, it involves greater blood loss, more complications, and a larger wound. Laparoscopic cystectomy is also available, though it takes longer and is not widely adopted.
Other bladder cancer treatments
- Transurethral resection of bladder tumor (TURBT): Treats superficial cancer and can provide a definitive diagnosis when cytology or biopsy is inconclusive.
- Intravesical instillation therapy: Delivers local treatment into the bladder for superficial cancer and carcinoma in situ.
- Systemic chemotherapy: Medical Oncology treats bladder and other urologic cancers. Most chemotherapy is given as outpatient care.
- Radiation therapy: The Radiation Oncology Department treats solid tumors, including urologic cancers.
The hospital also holds Magnet Recognition for nursing and is the only Magnet-recognized hospital in East Asia. Patients can leave a request on Bookimed to explore consultation options.
Highlights
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Treatments prices in the clinic
| treatment | Price | |
|---|---|---|
| Da Vinci Robotic System | Price on request | |
| Robotic da Vinci prostatectomy | Price on request | |
| Resection of glioma | Price on request | |
| Resection of medulloblastoma | Price on request | |
| Chemotherapy for breast cancer | Price on request | |
| Chemotherapy | Price on request | |
| Brachytherapy | Price on request | |
| Brain tumor removal | Price on request | |
| Radiotherapy | Price on request | |
| Breast cancer surgery | Price on request | |
| Hormone therapy | Price on request | |
| Gland therapy for breast cancer | Price on request | |
| Bacillus Calmette-Guérin (BCG) therapy | Price on request | |
| Stereotaxic radiosurgery | Price on request | |
| Tomotherapy | Price on request | |
| Radiosurgery of a brain tumor | Price on request | |
| CyberKnife for brain tumor | Price on request | |
| Gamma Knife for brain tumor | Price on request | |
| Radiation therapy for colorectal cancer | Price on request | |
| Radiation therapy for brain tumor | Price on request | |
| Chemotherapy for liver cancer | Price on request | |
| Radiotherapy for throat cancer | Price on request | |
| Throat cancer operation | Price on request | |
| Radiotherapy for breast cancer | Price on request |
How are we doing?
hospital accreditations of quality
St. Luke’s International Hospital: more details about the clinic
St. Luke's International Hospital is a multi-specialty medical center in Tokyo, Japan. Dr. Rudolf Bolling Teusler founded it in 1901. The facility operates from three primary buildings. The hospital practices evidence-based medicine while respecting each patient's values. It treats both adults and children, with pediatric surgery available for patients under 16.
Accreditations and Patient Volume
The hospital holds JCI (Joint Commission International) accreditation, first achieved in 2012. It also earned Magnet Recognition® for nursing quality in 2019.
In 2020, the hospital recorded more than 534,000 outpatient visits and over 158,000 admissions. A discharge survey showed 97.6% of inpatients were satisfied with their care. The facility has 520 beds.
Specialized Cancer Care
The Breast Center coordinates breast cancer diagnosis and treatment. The team includes specialists in breast surgery, oncology, and diagnostic radiology. Patients receive systemic therapy with anti-cancer drugs and reconstructive plastic surgery when needed.
After surgery, the hospital provides follow-up care with regular check-ups and annual mammography. Patients with hereditary cancer risks can access clinical genetics support from board-certified physicians.
For lung cancer, respiratory medicine, thoracic surgery, and radiation oncology work together. Specialists use virtual bronchoscopy and lung dye methods to determine precise resection ranges. Treatment options include:
- Robot-assisted minimally invasive surgery
- Thoracoscopic surgery
- Lung function-preserving reduced surgery
- Outpatient chemotherapy and molecular-targeted therapy
The AYA Survivor Support Center serves patients ages 15–39. It addresses physical and psychological concerns from diagnosis through long-term recovery.
Neurosurgery and Cardiology
The Neurology & Neurosurgery Center treats brain tumors, vascular diseases, and spinal conditions. Neurosurgeons perform functional stereotactic brain surgery and neuroendovascular therapy. The hospital also offers specialized brain check-ups to detect early signs of disease. The Neurology department manages degenerative disorders such as Alzheimer's and Parkinson's disease.
The Cardiovascular Center focuses on minimally invasive cardiac surgery (MICS) and catheter-based treatments. Surgeons perform robot-assisted valve surgery, including mitral and tricuspid valve repairs. Other cardiac procedures include:
- Coronary angiography
- Stent graft therapy
- Transluminal Arterial Angioplasty (PTA) and stenting
- Hybrid treatments combining catheter and surgical therapy
These procedures take place in specialized units designed for rapid recovery.
Advanced Diagnostic and Treatment Technology
The hospital uses the da Vinci Xi Surgical System for robotic prostatectomy and other minimally invasive procedures. This technology lets surgeons perform complex movements through small incisions.
Radiosurgery options include CyberKnife, Gamma Knife, and Tomotherapy for treating brain tumors without traditional surgery. For pulmonology diagnostics, the clinic uses EBUS-TBNA (ultrasound-guided needle biopsy) and cryobiopsy. The imaging department has PET-CT systems with various tracers, including Fluoroestradiol (FES) and Gallium 68.
International Patient Services
St. Luke's International Hospital supports patients traveling from abroad through dedicated liaison services. Medical staff consult in Japanese and English for clear communication during treatment planning.
The hospital offers online consultations with pediatric oncologists and onco-hematologists for remote case reviews. International patients can access English medical questionnaires before visiting the Breast Center.
Additional services
Patient reviews
マリナ
獣怪
ぴんぐり
Matt K
Shuichi Ishihara
Chika McGary
Kyoko Fujimoto
楊井得之
生田福
9-1 Akashi-cho, Chuo-ku, Tokyo 104-8560, Japan
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How it works:
- We find a medical coordinator familiar with the matter
- You get a personal offer with a step-by-step guide and the cost estimate
- We arrange your travel including appointment scheduling and flights booking
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