Bladder cancer is a common type of cancer that develops in the bladder cells. The bladder works as a hollow muscular organ in your lower abdomen to store urine. This type of cancer is usually diagnosed at an early stage, when the cancer has more chances of getting treated. But you can’t be sure about that; sometimes, even early-stage bladder cancer can come back even after successful treatments. It is the reason why bladder cancer requires constant monitoring and follow-up tests for years, even after treatment, to diagnose bladder cancer if it occurs again.
If you are planning to get bladder cancer surgery in Delhi, you can end your research at Delhi Urology Hospital and consult with Dr. Niren Rao. With extensive years of experience, he has performed over 7,000 urological surgeries successfully. To make this blog more informative, we have shared his insights. So, let’s start by understanding bladder cancer and what surgeries can help get rid of it.
Bladder Cancer: An Overview
Bladder cancer is identified as a rare form of cancer that starts in your bladder lining. Your bladder is identified to be the small, hollow organ that holds your pee (urine). With the help of medical advancement, urologists have various ways to treat bladder cancer, even including a surgical procedure. However, complications arise when bladder cancer comes back after the treatment. In short, people with bladder cancer should seek consultation from their doctor even after the treatment.
Urologists can treat early-stage bladder cancer (cancer that is found and treated before it can spread). However, as per the reports, there are chances that about 75% of early-stage bladder cancers come back.
Types of Bladder Cancer
Three types of bladder cancer include:
- Transitional cell carcinoma: This cancer starts in transitional cells in the inner lining of your bladder wall. About 90% of all bladder cancers are identified to be transitional. In this type of cancer, abnormal cells spread from the inner lining to other layers deep in your bladder. This bladder cancer type is medically known as urothelial bladder cancer.
- Squamous cell carcinoma: Squamous cells are thin, flat cells that line the inside of your bladder. This bladder cancer is responsible for about 5% of bladder cancers and usually develops in people who’ve had long bouts of bladder inflammation or irritation.
- Adenocarcinoma: This type of cancer is found in glands that line your organs, including your bladder. This cancer is a very rare type of cancer, accounting for 1% to 2% of all bladder cancers.
Symptoms of Bladder Cancer
Blood in your pee is the most common symptom of bladder cancer. Though this symptom can not be the only sure sign of bladder cancer, other conditions may cause this issue, too. The other blood cancer symptoms may include:
- Visible blood in your pee
- Frequent urination
- Persistent bladder infections
- Having trouble peeing
Causes of Bladder Cancer
The exact reasons for getting diagnosed with bladder cancer are still unknown. However, various risk factors may increase the chances of developing blood cancer; these may include:
- Radiation factors
- Smoking
- Exposure to certain chemicals
- Frequent bladder infections
- Chronic catheter use.
Diagnosis & Tests For Bladder Cancer
Urologists prescribe a series of tests to diagnose bladder cancer, including:
- Urine routine microscopy culture: This is performed to examine the presence of RBCs in urine as well as to rule out infection.
- Cytology: In this, providers examine cells under a microscope for signs of cancer.
- Ultrasound: This informs about the size of the tumor and provides vital information about the kidneys, ureters, and prostate.
- Contrast Enhanced CT Scan: This helps to understand the planning of surgery for the patient.
- PET Scan: This is performed in advance cases to determine if the tumor is limited to the bladder or spread to the other parts of the body.
What Preparations are required before undergoing surgical treatment to combat bladder cancer?
- Blood sugar and blood pressure are controlled in cases of diabetic and hyper-sensitive patients.
- Patients are asked to fast overnight before getting admitted to the hospital.
- Complete blood tests, ECG, chest X-rays, and echocardiography (ECHO) are done to assess the patient’s fitness for surgery.
- Pre-operative anesthesia check-up is done to assess the patient’s status.
The Most Common Surgery For Bladder Cancer Removal– TURBT
Transurethral Resection of Bladder Tumour (TURBT) is done specifically for patients diagnosed with bladder tumors. It is an endoscopic surgery performed through the urine passage (urethra). Moreover, this surgery involves no cuts.
How TURBT Is Performed?
Step 1: In this step, general anesthesia is used, and patients are put to sleep before the surgery and woken up after the procedure. In the case of small tumors, it can be done under spinal anesthesia by giving a small injection in the back to numb and immobilize the body below the umbilicus.
Step 2: Patients are directed to be in the lithotomy position. A thin tube called a resectoscope is inserted into a bladder Using a telescope.
Step3: Your entire bladder is inspected in this stage. The small tumors are completely cut out and sent for biopsy. After the removal of the tumor, a part of the normal bladder wall below the tumor is also resected and will be sent for biopsy to understand how deep the tumor was. In case of very large tumors, either a small tissue is sent for biopsy, or the surgery is performed in stages.
Step 4: In the case of small tumors, intravesical chemotherapy is performed to take care of any microscopic cancer that wasn’t removed by the surgery.
Step 5: At the end, a catheter is placed inside the bladder to flush out any remaining blood or clots to drain it better.
Bladder Surgery Cost in Delhi
The Bladder Cancer Surgery Cost in Delhi starts from Rs. 40,000 at Delhi Urology Hospital. However, the cost of bladder surgery can vary from individual to individual, depending on their health condition.
Conclusion
Bladder cancer originates in the cells lining the bladder and is usually associated with risk factors such as smoking and chemical exposure. If you are experiencing early symptoms of bladder cancer, such as blood in the urine, frequent urination, and pain during urination. In that case, it is suggested to seek the best urologist in Delhi to start your treatment of bladder cancer effectively.
One such doctor is Dr. Niren Rao.
He is the founder of Delhi Urology Hospital and has more than a decade of experience in delivering successful surgical treatment to his patients. To start your treatment book a consultation with him today by paying a visit at Delhi Urology Hospital today!
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