Statistically, cancer of the urinary bladder appears to be most common in people between the ages of 50 and 70 years. This is a type of cancer that affects men more often than women. Studies show that it is more commonly experienced by Caucasians than African Americans.
Bladder cancer ranks fifth among the top ten cancers that affect males. It is considered one of the most common malignant cancers and the tenth leading cause of cancer death. It manifests as a tumor of the bladder.
The most common symptom of bladder cancer is visible, painless hematuria or blood in the urine. Treatment of bladder cancer depends on the grade of the tumor (the degree of cellular differentiation), the stage of tumor growth (the degree of local invasion and the presence or absence of metastasis), and the multicentricity (having many centers) of the tumor.
Radiation of the neoplasmic tissue is done preoperatively to reduce spread of the neoplasm and viability of the cancer cells, thus decreasing the chances that the cancer may recur in the immediate area, or, of metastasis through the circulatory lymphatic systems.
An alkylating chemotherapeutic agent is instilled in the bladder. Precautionary measures are needed in handling urine after the procedure. It isconsidered biohazardous material and should be disposed of properly. For 6 hours following chemotherapy, disinfect the toilet with household bleach after voiding.
The doctor inserts a cystoscope into the bladder via the urethra tube. The procedure entails the use of a long, but small wire to remove the cancerous tissue and to burn away or cauterize any remaining cancerous tissues with the aid of an electric current. This procedure is performed for tumors that were identified early and can be cured.
Radical cystectomy is a medical surgical procedure that involves the complete removal of the organ involved that’s developed neoplasmic growths. The entire bladder, including the urethra and ureters, is removed.
The segmental cystectomy is a less radical procedure with only partial removal of the bladder. The cancerous areas are removed and the surrounding tissues, which are not affected, are maintained.
Laparoscopic surgery/robotic cystectomy
Laparoscopy is done with smaller incisions than traditional surgery, using a slender tube with a camera on the end (laparoscope), which may be robotically or hand controlled.Oncology