Bladder Cancer

Bladder cancer usually begins in the inner lining of the bladder, in special cells called transitional cells. It can also grow in other parts of your urinary tract system including your kidneys, ureters, and urethra.

Risk Factors
Smoking and exposure to secondhand smoke are the strongest risk factors for bladder cancer. Cigarette smokers have a 2-3 times greater risk of developing bladder cancer than nonsmokers.

  • Age is another risk factor for bladder cancer. Eighty percent of bladder cancer cases occur in individuals 60 and older. Older men have a 2-3 times higher risk than women.
  • Working with toxic chemicals regularly also at increased risk for bladder cancer.

Symptoms
Painless blood in the urine is the most common sign of bladder cancer; however, blood in the urine can also indicate other conditions such as a urinary tract infection, kidney stones, or prostate problems.

Testing and Treatment

If your doctor cannot prove that another condition is causing blood your the urine, he or she will perform tests to confirm or rule out bladder cancer. These tests commonly include a study of your urine to look for cancer cells, a CT scan of the abdomen and pelvis, and a cystoscopy or an examination of the bladder with a lighted scope passed through the urethra into the bladder.

Treatments
Treatment for bladder cancer depends on its stage and grade. Options include:

  • Transurethral Resection of Bladder Tumor (TURBT): A minimally-invasive procedure in which the tumor and other areas of concern are burned away with a special tool that is inserted through the urethra.
    Review the TURBT post-operative patient instructions.
  • Immunotherapy: Biological therapy drugs are inserted in your bladder through a catheter and held there for a period of time before being excreted. These therapies strengthen your immune system so your body can fight cancer cells. Immunotherapy is often used after a TURBT to prevent recurrences of bladder cancer.
  • Chemotherapy: Drugs used to kill cancer cells are given through an IV or inserted directly into the bladder. Chemotherapy may be used after surgery or before surgery to shrink the tumor enough to allow for a less invasive surgery.
  • Radiation Therapy: High energy x-rays are used to destroy cancer cells.
  • Cystectomy: Surgery to remove a portion (partial cystectomy) or all (radical cystectomy) of the bladder. After a radical cystectomy, your urologist will construct a new way for urine to leave your body, and you’ll have an internal or external bag that fills with urine. You will need to empty the bag several times a day.

Frequently Asked Questions

Are there any support groups or resources for bladder cancer patients?
BCAN’s, the Bladder Cancer Support Network, provides information and support and raise awareness for bladder cancer.

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