Bladder Cancer

When you come to Basil Onco Care bladder cancer care, you are the focus of a team of exceptional experts that customizes your treatment to ensure the best outcomes with the least impact on your body.

Bladder Cancer Symptoms

The most frequent bladder cancer symptom is blood in the urine (hematuria), which causes the urine to appear rusty or deep red in color. However, hematuria cannot always be detected by the naked eye, and it can be a symptom of other conditions such as kidney or bladder stones or urinary tract infection.

Other bladder cancer symptoms may include:

These symptoms do not always mean you have bladder cancer. However, it is important to discuss any symptoms with your doctor, since they may signal other health problems.

Bladder Cancer Diagnosis

If you have symptoms that may signal bladder cancer, your doctor will examine you and ask you questions about your health; your lifestyle, including smoking and drinking habits; and your family medical history.
One or more of the following tests may be used to find out if you have bladder cancer and if it has spread. These tests also may be used to find out if treatment is working.
Blood and urine tests

Cystoscopy:

This is the most frequent and reliable test for bladder cancer. A thin tube with a camera on the end (cystoscope) is inserted into the bladder through the urethra. The cystoscope also can be used to take a tissue sample for biopsy and treat superficial tumors without surgery. However, cystoscopy is not always accurate when performed alone, and flat lesions (carcinoma in situ) and small papillary tumors can be missed. Basil onco care recommends that cystoscopy be combined with other tests for the most accurate diagnosis.
Basil is also using blue light cystoscopy for more accurate detection of bladder tumors.

Imaging tests, which may include:

Bladder Cancer Treatment

Your bladder cancer care is customized to include the most advanced therapies.
Our skilled surgeons, who utilize the latest bladder cancer and reconstruction techniques, are among the most experienced in the south gujarat. This can make an essential difference in the success of your treatment and recovery.
And, as one of the nation’s largest cancer research centers, we offer a variety of clinical trials of new therapies for bladder cancer.
If you are diagnosed with bladder cancer, your doctor will discuss the best options to treat it. This depends on several factors, including the type and stage of the cancer and your general health.
Your treatment for bladder cancer at BASIL will be customized to your particular needs. One or more of the following therapies may be recommended to treat the cancer or help relieve symptoms.
Your treatment for bladder cancer at BASIL will be customized to your particular needs. One or more of the following therapies may be recommended to treat the cancer or help relieve symptoms.
Surgery
Surgery is part of almost every bladder cancer patient’s treatment. Other types of treatment often are given before or after surgery.

Transurethral resection (TUR):

may be used for early-stage or superficial bladder cancer. A resectoscope, which is a thin tool with a wire loop on the end, is threaded through the urethra to the bladder, and then the tumor is scraped from the bladder wall. Fluorescence cystoscopy, a special way of looking at the bladder wall, may be used to enhance bladder cancer detection.

Cystectomy:

which is removal of the bladder, is often used in more advanced bladder cancer. Usually the entire bladder is removed, but partial cystectomies may be appropriate for a small number of patients. Lymph nodes near the bladder also will be removed. The prostate is removed in men, and in women the uterus, ovaries, fallopian tubes and often a small part of the vagina are removed.
Bladder Reconstruction Surgery
When the bladder is removed to treat bladder cancer, surgical procedures known as urinary diversions are performed to give your body a way to store and remove urine. Urinary diversions are done at the same time as a cystectomy. There are three types of urinary diversion:

Ileal neobladder:

Part of the ileum (small intestine) is used to make a new bladder, allowing for "normal" urination. This procedure is more successful for men. It provides good daytime urinary control, with about a 20% chance of nighttime incontinence. Some women may have trouble completely emptying the neobladder and may sometimes need to use a catheter.

Ileal conduit:

A piece of the small intestine is used to create a “pipe” that connects the ureters to the surface of the skin in the navel. Urine is continuously drained into a urostomy bag worn on the outside of the body. It is a simple and efficient procedure, but some patients may have issues with wearing an external bag.

Continent reservoir:

Intestinal tissue is used to create an internal pouch that is connected to the navel. The patient uses a catheter to drain the pouch every three to four hours. This procedure is done less frequently.
Chemotherapy
Chemotherapy plays a major role in the treatment of bladder cancer that has spread (metastasized) to the lymph nodes, lungs, liver and other parts of the body. In these patients, chemotherapy is the frontline treatment.
Chemotherapy also is used with surgery when bladder cancer has a high risk of metastasis. Bladder tumors that have invaded the muscle wall and have the potential to spread can benefit from chemotherapy before surgery (neoadjuvant therapy).
Radiation Therapy
Although surgery is the frontline treatment for bladder cancer, radiation treatment has a role in certain patients. Simultaneous radiation and chemotherapy with cisplatin may be used instead of surgery in an effort to save the bladder. However, only about 40% of patients who have this treatment will be able to keep their bladders and not have the cancer come back.
Chemotherapy also is used with surgery when bladder cancer has a high risk of metastasis. Bladder tumors that have invaded the muscle wall and have the potential to spread can benefit from chemotherapy before surgery (neoadjuvant therapy).

Continent reservoir: