Bladder Cancer- Treatment Options

After the stage and grade have been found, your doctor can discuss how to move forward with treatment. The following are some treatment options for bladder cancer.

Transurethral Resection Intravesical  Therapy Chemotherapy Radiation Cystectomy


 TRANSURETHRAL RESECTION

The doctor will use cystoscopy to look inside your bladder during your evaluation. If the cancer is in an early superficial stage and in low grade, it can be removed using cystoscopy. The removal of a tumor during cystoscopy is known as transuretheral resection (TUR).  

 

What should I expect?
TUR is usually an outpatient procedure performed in a hospital. Anesthesia is administered to either numb or to put to sleep. During the procedure, a cutting tool is inserted into the bladder through the urethra. If tumors are found, they are removed (if possible). In some cases, a laser is used to burn a tumor away.  After the procedure, a catheter may help drain the bladder for a few days.

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INTRAVESICAL THERAPY
Tumors that are high grade, have multiply locations or are flat against the bladder wall are difficult to remove using Transurethral Resection.These tumors are better fit for treatment using intravesical therapy. This treatment uses special medication that will destroy cancer cells.

HOW DOES IT WORK?
N Intravesical therapy is usually done in the doctor's office. A catheter is use to fill the bladder with liquid medication. This medicine should be held in the bladder for up to two hours. The medication is then release by urination. This process is repeated weekly for 6 to 8 weeks.

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CHEMOTHERAPY


 

Chemotherapy is a way to treat cancer using medications that destroy cancer cells. The medication is directly injected into the patient's veins. Chemotherapy can be used alone or with radiation therapy and/or surgery.

HOW DOES IT WORK?
IChemotherapy medications are given at regular intervals for several months. The scheduled intervals are to be determined by the type of medication used for treatment.

The medicaiton is sent into the veins through an intravenous (IV) line.

 

Risks and Possible Complications Short-Term Side Effects
-  Low white blood cell count -  Painful mouth sores
-  Severe infection -  Nausea and vomiting
-  Kidney, Nerve or Heart damage -  Fatigue
-  Hearing loss -  Weight or Hair loss

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RADIATION
Radiation therapy uses beams of energy to destroy cancer cells. With each dose, the tumor gets smaller. The cancer cells die and healthy cells take their place. Radiation therapy can be used alone or with chemotherapy.

HOW DOES IT WORK?
A treatment plan will be determined based on an evaluation of your disease and overall health. Radiation may be directed at  the bladder itself and other areas to which the cancer may spread. Short doses of radiation are aimed at the target areas. Each treatment lasts a few minutes and is given once a day, 5 days a week, for 5 to 7 weeks. 

Risks and Possible Complication Short-Term Side Effects
-  Continued bladder irritation -  Mild to Moderate diarrhea                       
-  Loss of bladder function -  Bladder irriatation
-  Bleeding from the bladder -  Mild Fatigue
-  Permanent damage to intestine or rectum -  Rectal irritaions or bleeding

 

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CYSTECTOMY
Circumcision is a surgical procedure to remove the foreskin from the head of the penis. Some parents choose to have their sons circumcised as a baby. Ususally this is done by an obstetrician(a doctor who delivers babies), a pediatrician (a doctor who cares for children)or a neonatologist(a doctor who cares for newborns). However, when the boy is older circumcision is usually done by a urologist.

IS CIRCUMCISION THE RIGHT WAY TO GO?
If you are still deciding wheather circumsion is best for your child maybe you should read the following content.

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