Does painless hematuria mean bladder cancer?

Hematuria is not necessarily a bladder tumor, but when elderly people have painless macroscopic hematuria, a systematic examination should be performed to determine the source of the blood in the urine. If painless hematuria is present, not only should the possibility of bladder cancer be considered, but also the possibility of urinary system tumors originating from other parts of the kidneys, ureters, etc. Painless hematuria does not necessarily mean that it is a manifestation of bladder cancer, but in this case, timely examination and treatment are required.

Is it better to have surgery or not if bladder cancer is already in the late stage?

In fact, patients with advanced bladder cancer have lost the chance of surgery. At this time, bladder cancer is no longer limited to the bladder. It may have invaded the pelvic wall or surrounding organs. At this time, it is not necessary to remove the bladder as the main treatment. Instead, it may be mainly treated with systemic chemotherapy, radiotherapy, and immunotherapy. If you have bladder cancer and can undergo surgery, you must undergo surgical resection. Only surgery can cure the tumor. If you have lost the chance of surgical resection, chemotherapy is the only option to control the tumor and prolong life. The patient is 64 years old and has advanced bladder cancer. If the invasion area is small, surgical treatment can be considered.

Can early bladder cancer be detected by ultrasound?

Early bladder cancer can also be diagnosed by experienced ultrasound doctors through ultrasound examinations. They can find lesions about 2 cm in size with low-density changes, irregularities, lobes, uneven internal echoes, and incomplete capsules. The review of bladder tumors can be done through B-ultrasound, and some abnormal phenomena can also be found through blood routine examinations. Bladder tumors should be treated in time, and surgical resection should be performed in the early stages. In addition, some chemotherapy methods can be used for auxiliary treatment, and the effect is still relatively good. If the treatment effect is not obvious for mid-term or late-stage bladder tumors. Early bladder cancer can be detected by B-ultrasound, but it may not be able to make a clear diagnosis, because B-ultrasound can see the size and shape of the mass, whether the boundaries are clear, and whether the shape of the tumor is regular, but it cannot see whether there is blood flow inside, so color ultrasound examination is also required.