Bladder Cancer Symptoms and Treatment - Advanced Treatment for Bladder Cancer in India

Approximately 70 to 80 percent of patients newly diagnosed with bladder cancer have superficial, noninvasive bladder cancer. If the cancer spreads further into the muscle wall of the bladder or to nearby lymph nodes and organs, it is called invasive bladder cancer. Bladder cancer occurs more frequently among older men, with the median age of diagnosis being 58 and the media age of death being 65, based on data collected from 2010 to 214.

Smoking is the greatest risk factor for bladder cancer, according to the Centers for Disease Control and Prevention, causing approximately 20 to 30 percent of bladder cancers among women and 50 to 65 percent of bladder cancer among men.

It is characterized by urine that may appear dark yellow, bright red or cola colored, However hematouria can be intermittent, even when caused by serious disease, and its severity is not correlated to the severity of the underlying cancer. Other symptoms of bladder cancer may also include frequent urination, painful urination, urinary tract infection and lower back pain, according to the National Institutes of Health.

Diagnosis & Tests

Initial physically examination usually involves the doctor inserting gloved fingers into the vagina and/or rectum to feel for lumps and abnormal growth, according to the National Cancer Institute. This is usually followed with blood tests, urine tests and cystoscopy. Flexible cystoscopy uses a thin tube with a light at the end (called a cystoscope) to look inside the bladder. It is a low-risk procedure that is generally conducted in the physician's office under local anesthesia, However inflammations and bleeding can result in poor visualization and reduced accuracy. Hence additional tests are usually needed.
If invasive bladder cancer is suspected, the doctor may also order MRIs, CT scans and X-rays in order to determine if the cancer has spread to the kidneys, ureters and other internal organs.

Treatment of Bladder Cancer in India

Bladder Sparing Surgery

This involves using a combination of chemotherapy and radiotherapy to destroy the cancer cells locally and also if they have spread to other parts of the body. Transurethral resection of bladder tumour and partial removal of bladder are also types of bladder sparing surgeries which are used when the tumor is superficial or minimally invasive. These treatment techniques can be used in combination with each other.

Neobladder or Urine diversion techniques

Neobladder or Urine diversion techniques : This is required after radical cystectomy or complete removal of bladder in cases where the tumor has penetrated the bladder wall and spread beyond it

Radical Cystectomy :

If the cancer is larger or is in more than one part of the bladder, a radical cystectomy or complete removal of the bladder is needed. This operation removes the entire bladder and nearby lymph nodes. In men, the prostate is also removed. In women, the ovaries, fallopian tubes (tubes that connect the ovaries and uterus), the uterus (womb) and a small portion of the vagina are often removed along with the bladder. These surgeries are typically done through a cut (incision) into the abdomen while the patient is placed under general anesthesia. The patient needs to stay in the hospital for about a week after the surgery. The patient can usually go back to his normal activities in 4 to 6 weeks.

Laparoscopic Radical Cystectomy :

In some cases, the surgeon may operate through several smaller incisions using special long, thin instruments, one of which has a tiny video camera on the end to see inside the pelvis. This is known as laparoscopic, or “keyhole” surgery. The surgeon may either hold the instruments directly or may sit at a control panel in the operating room and maneuver robotic arms to do the surgery. If it can be done, laparoscopic surgery may result in less pain and quicker recovery after the operation (due to the smaller incisions). But it has not been around as long as the standard type of surgery and it’s not yet clear if it is equally as effective. This technique is still in its infancy and is not practiced very commonly.

Medworld India offers comprehensive care for patients with Bladder Cancer  including advanced diagnosis, best treatment options . A team of Surgical Oncologists, Radiation Oncologists, Medical Oncologists, Urologists, Rehabilitation team and other medical specialties work together to treat each Bladder Cancer patient We consider each patient's type and extent of Bladder Cancer to recommend the most appropriate treatment plan. They also carefully consider and select the treatment option that will allow the patient to maintain quality of life with good survival rate.

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