No more panic about Urinary bladder cancer

The Urinary bladder is a hollow and flexible pouch located in the pelvic area. It carries and releases the urine through the urethra. When the bladder cells start to grow out of control urinary bladder cancer occurs.

Urinary bladder cancer symptoms

• Frequent urination
• Changes in the urine color
• Feeling burning sensation while urinating
• Feel to urinate though the bladder is not full
• Poor urination
• Pain in the abdomen
• Blood in the urine
  

  

  
  

Urinary Bladder Cancer treatment:

It purely depends on the stage of cancer, the severity of the symptom and overall health condition of the patient.

Stage 0-1 treatment

• Removing tumor from the bladder with surgical intervention without removing the entire bladder
• Administering immunotherapy or chemotherapy directly to the bladder

Stage II &III treatment

• Removing the whole bladder and adjoining lymph nodes
• Removing a part of the bladder and giving radiation and chemotherapy
• Applying chemotherapy for tumor shrinkage before the surgery
• Administering both chemo and radiotherapy in patients who cannot undergo surgery

Patients who suffer from Stage IV cancer will not be recommended for surgery. In such cases, chemotherapy is administered.

Chemotherapy:

For stage 0-1 patients (early stage), chemotherapy is given directly to the bladder with the help of a Foley catheter for delivering the medicine. For the patients with Stage 2-3, chemotherapy is administered before or after surgery in order to prevent tumor relapse. Stage 4 patients are provided with intravenous chemotherapy medication. The most common side effects of chemotherapy treatment are bladder wall irritation and painful urination.

Urinary Bladder Cancer surgery

Transurethral resection of the bladder (TURB): 

This method is used to diagnose and remove the cancerous tissues from the bladder. Under general anesthesia or epidural injection, the surgery is performed. During the TURB surgery, a cystoscope is introduced into the bladder through the urethra, using a resectoscope tumor is removed for biopsy purpose and the remaining cancer cells are burnt. As the cancer relapse is expected after surgery, repeated TURB is required sometimes.

Radical Cystectomy: 

Most of the Stage II-III patients are performed with bladder removal and sometimes a part is removed. After the surgery, radiation and chemotherapy are advised to avoid relapse.

Continent urinary reservoir: 

Using an intestinal piece, a pouch is created to collect the urine. The patient needs to insert a tube into the opening of the skin to drain the urine from the pouch.

Dr. Mahendra Jain is an iconic Urologist in Bangalore who has been treating all kinds of urinary problems from UTI to tumor in an effective way.

mail us @ urologistbangalore@gmail.com
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