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Cancer » Bladder Cancer

Treating Bladder Cancer with Surgery

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Bladder Cancer is the ninth dominant cause of cancer in our world. An irritated bladder(to the point where cell growth pans out of control) could be the result of many things including smoking, inflammation, long-term exposure to harmful chemicals, or a prior radiation or chemo treatment.

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Treatment for Bladder Cancer

Depending on the growth of the tumour(s) and the stage, bladder cancer has a few treatment options.

l  Intravesical Therapy

l  Radiation

l  Chemotherapy

l  Immunotherapy

l  Surgery

It is often possible that doctors would choose to combine one or more of these options to achieve a more efficient result. Surgery alone can be very useful in an early stage of bladder cancer.

Bladder surgery has a few kinds, depending on what part of the bladder the doctors intend to remove.

Cystectomy

It is the surgical procedure that removes a part of or the entire bladder. In the case of a recurrence or when the cancer is limited to a part of the bladder, the walls, for example, cystectomy can be used.

Partial Cystectomy removes a section of the bladder. Radical Cystectomy removes the entire bladder, any parts of the urethra, nearby lymph nodes, and affected cells.

The Radical procedure could pose many risks after the surgery. They include acidosis, urine/stool leak, kidney infection, scar tissues, or bowel obstruction.

Transurethral Resection (TUR)

It is a diagnostic surgery that helps find and locate cancerous tissues as well as remove them. The patient is put under anaesthesia. A cystoscope, a light and thin tube-like tool inserted via the urethra, is used to locate cancer. A resectoscope helps remove the tumour by burning the cells.

While Transurethral Resection can eliminate one or more small tumours from within the bladder, others might show up afterwards. It calls for repeated procedures.

The risks with TUR involve bleeding, blood clots in the bladder, wall perforation, hematuria or blood in the urine, and bladder infection. Often, medical professionals advise a follow-up with immunotherapy or chemotherapy after TUR.

Urinary Diversion

It is a surgical manner used to set the flow of urine on a path different from the usual one. The surgeons would create a pouch by borrowing matter from the intestines. This newly fabricated bag is called a continent reservoir.

The surgeons may also create a path out of the body for the urine, called an Ileal Conduit. A flat bag is then used at the end of this pathway to store the urine.

Complications with urinary diversion include fistulas(neobladder cutaneous and neobladder intestinal), incisional hernia, acidosis, and neobladder rupture.

Additional Complications

Since a surgery could be invasive in many manners when it comes to bladder cancer, there is a lot of reaction and aftermath involved with this procedure.

Diarrhoea, constipation or other bowel problems may arise among the most common side effects of bladder cancer-related surgery. Other risks include scar tissue formation, intestinal blockage, and a probable erection issue in the case of Radical or Partial Cystectomy.

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