Bladder Cancer Treatment In Navi Mumbai & Mumbai, India Process under Dr. Soumyan Dey:
We give hope and do a good job for the patient and GOD cures him
How is Bladder Cancer Diagnosed?
If a person who had a long term exposure to chemicals or chronic smoker ;is concerned whether he has urinary tract tumor
- Get a urine for routine and microscopic examination to see if there are a lot of blood cells in urine
- Get a urine for malignant cell cytology,
- Get a Ultrasonography Kidney, ureter and bladder
- Once a tumor is detected on a USG, FURTHER TESTS are done to look for extent of the tumor. It involves getting CBC, RFT, LFT, CHEST X RAY, CONTRAST CT SCAN WHOLE ABDOMEN and sometimes FDG PET ct SCAN to look for distant spread.
- An ENDOSCOPIC TRANSURETHRAL RESECTION OF BLADDER TUMOR (TURBT),gives a definite diagnosis by bringing out tissues for biopsy/histopathological examination. Many a times TURBT itself cures an early bladder tumor, not requiring further treatment with bladder removal (Radical Cystectomy) or chemotherapy
Causes of Bladder Cancer?
- Use of tobacco in any form, be it smoking or chewing
- Chronic exposure to chemicals as in dye and paint industry, commercial manufacture of chemicals, dyes, paints or research fellows working with chemicals
Treatment of bladder cancer?
Stage 1 – Bladder Cancer:
Tumour confined to the first two layers of bladder wall, not spreading to the deeper muscle or serosal layer or distant tissue
—-TREATMENT INVOLVES ENDOSCOPIC TRANSURETHRAL RESECTION OF BLADDER TUMOR (TURBT) FOLLOWED BY ROUTINE CYSTOSCOPIC AND RADIOLOGICAL FOLLOW UP TILL 1 TO 5 YEARS. FOR tumour involving lamina propria layer of bladder wall, intravesical Immunotherapy with weekly OncoBCG injection.
Stage 2 bladder cancer:
Tumour has crossed the confines of the first two layers of bladder wall, spreading to the deeper muscle layer, or to the pelvic lymph nodes but not beyond.
INVOLVEMENT of muscle layer of bladder is diagnosed many a times after TURBT AND microscopic examination of resected tissue (biopsy/histopathological examination)
Further treatment involves Neoadjuvant chemotherapy followed by resection of the bladder tumor with urinary diversion with an illeal conduit or creation of a Neobladder. This may also be followed by adjuvant chemotherapy
Stage 3 bladder cancer:
Tumour has crossed the deeper muscle layer of bladder into the serosal layer, and may involve adjacent organs like intestines etc
This is usually treated with chemotherapy followed by palliative surgical resection of tumor
Stage 4 bladder cancer:
Tumour has spread to distant organs like liver or bones or lungs.
Treatment generally involves chemotherapy.
Radical cystectomy is a surgery in which the bladder which is affected with a tumor which has evolved beyond the layer of the bladder’s outer muscle layer. Along with the bladder, in males the prostate is also removed while in female the uterus and the upper cuff of the vagina along with the pelvic lymp nodes. Once the bladder is removed the provision is made which allows patient to remove urine. To do this there are two ways one is using a stoma bag and another using a neobladder.
- Stoma Bag: We use a small piece of the intestine which is connected to the ureter inside the abdomen and a bag is placed to the stoma to another opening of the ileum outside.
- Neobladder Reconstruction: In Neobladder a new bladder is created using the intestine. The ureters are connected to the neobladder which opens into the native urethra. This allows the urine from the kidney to pass through ureters into the neobladder and out of the body through the native urethra. The patient will have to learn to timely pass the urine out using a catheter.
Cystectomy - FAQ's
Once the patient has adapted and learn to use stoma bag/ neobladder by himself he can live a relatively normal life.
There are generally no restriction infact one of our patient even goes swimming regularly.
Radiation and Chemo-radiation is an alternative method. However, this procedure is known to shrink the bladder leading to frequent urination. Hence, surgery is one of the best options for a better quality and comfortable life ahead.