Can bladder cancer be treated without bladder removal? Explanation of indications for surgical resection of bladder cancer

Bladder cancer refers to a malignant tumor that occurs on the bladder mucosa. It ranks first in the incidence of urinary system tumors. Most of the patients are middle-aged and elderly men and some women. In recent years, the number of bladder cancer cases has become younger. It is generally believed that the incidence rate is higher in people who often work with chemicals. There are also cases where chronic cystitis develops into bladder cancer. At present, surgery and infusion chemotherapy are the more common treatment options for bladder cancer.

Some bladder cancer patients cannot have their bladder removed. However, it has prerequisites, especially for many low-grade malignant urothelial carcinomas. It can be treated through transurethral, ​​cystoscopy, and bladder tumor resection. For primary invasive bladder tumors, the treatment principle is that the bladder needs to be removed. For many small tumors scattered in many bladders, transurethral and bladder tumor resection can also be performed. Whether bladder cancer needs to be surgically removed must be determined by CT examination. Any treatment plan is determined according to the condition. Only by obtaining the best treatment plan can the patient get the best survival time to improve the quality of life.

The main indications for bladder cancer are invasive bladder or neck invasive malignancies or extensive papillary bladder tumors that cannot be treated by other methods. Recurrent multiple papillary carcinomas. In situ bladder cancer with grade II-III tumor cells in bladder biopsy. Tuberculous contracted bladder with bladder neck or urethral stenosis. Congenital bladder exstrophy, failed repair surgery. Complex bladder vaginal fistula, repeated repair is invalid. Refractory interstitial cystitis.

About 90% of bladder cancer patients have the initial clinical manifestation of hematuria, usually with painless, intermittent, gross hematuria, and sometimes microscopic hematuria. Hematuria may occur only once or last from 1 day to several days and may resolve or stop on its own. Some patients may have hematuria again after a certain period of time. The staining of hematuria ranges from light red to dark brown, usually dark red. The amount of bleeding and the duration of hematuria are not certain. Sometimes when gross hematuria occurs, the tumor is already large. Sometimes small tumors have a lot of hematuria. 10% of bladder cancer patients may first experience bladder irritation, characterized by frequent urination, urgency, dysuria, and difficulty urinating, while the patient does not have obvious gross hematuria. Tumors in the trigone and bladder neck can block the bladder outlet and cause symptoms of dysuria.

Bladder cancer not only affects the function of the urinary system, but also easily recurs and metastasizes, and in severe cases can be life-threatening. But please do not be afraid of cancer. As long as you actively cooperate with the doctor's treatment, pay attention to maintenance after surgery, develop good living habits, and have a positive attitude towards life, cancer can be defeated.