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Bladder Cancer

Diagnosis, symptoms, and treatment methods.

General Information About Bladder Cancer

Bladder cancer is a malignant tumor directly associated with tobacco use, arising from the uncontrolled proliferation of urothelial cells lining the inner surface of the urinary bladder. Painless bloody urine (hematuria) is its most typical and earliest manifestation. In our Urological Oncology clinics, it is diagnosed via cystoscopy and treated with closed TUR-B surgery, intravesical immunotherapy (BCG), or radical cystectomy.

Disease Details and Frequently Asked Questions

You can find detailed information about the disease under the headings below.
What is Bladder Cancer?

It is a malignancy where the cells lining the inner surface of the balloon-shaped organ (the bladder) that stores urine filtered from the kidneys transform into cancer and grow into the lumen or the muscle tissue of the organ.

What is the Biggest Cause (The Role of Smoking)?

By far the greatest enemy and cause is SMOKING! Carcinogenic substances in tobacco pass from the lungs into the blood, are filtered by the kidneys, and pool in the bladder with the urine for hours. Because the inner lining of the bladder is in continuous contact with these toxic chemicals, it begins to generate cancer cells.

What is the Most Typical and Early Symptom?

The most alarming and important symptom of the disease is the sudden appearance of visible, bright red, tea-, or cola-colored BLOOD IN THE URINE without any pain or burning (Painless Hematuria). Even if it bleeds once and returns to normal for months, this is an essential alarm that must never be ignored.

Why is Invasion into the Muscle Layer Important?

Bladder cancer is divided into two stages: If the cancer is only located in the mucosa lining the surface of the bladder (Superficial - Non-muscle invasive), it is easily scraped out and cured with closed surgery. However, if the cancer has taken root in the deep MUSCLE LAYER of the bladder, a risk of spreading (metastasis) to the lymph nodes and lungs arises, requiring removal of the entire bladder.

How is it Diagnosed?

Cauliflower-like masses inside the bladder are seen via ultrasound. The definitive diagnosis is established through a Cystoscopy procedure. The urologist inserts a thin led-light scope with a camera through the urinary opening to examine the inside of the bladder in HD quality and obtains a tissue sample (biopsy) from the mass.

How is it Treated? How is Urination Performed when the Bladder is Removed?

At an Early Stage (TUR-B): Entering through the urinary tract, the cancerous mass is scraped off from the inside using electricity/laser (without creating an open wound). To prevent recurrence of the disease, chemotherapy solutions are instilled directly into the bladder.
At an Advanced Stage (Muscle-Invasive): A Radical Cystectomy is performed to save the patient's life; meaning the bladder and surrounding lymph nodes are completely removed. To replace the removed bladder, a new urinary reservoir (Neobladder) is created using a segment of the patient's own small intestine, allowing the patient to urinate through the natural pathway, or the urine is diverted to a pouch (stoma) on the abdominal wall.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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