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Bladder Cancer Treatment: Bladder Removal Surgery - Urology Care Foundation
Bladder Cancer Treatment: Bladder Removal Surgery - Urology Care Foundation administrator 0 Views • 2 years ago

Being told you have muscle-invasive bladder cancer can be very scary. However, your doctor and medical team are there to help. Your treatment choices will depend on how much your cancer has grown, and can involve bladder removal with chemotherapy or without chemotherapy. #BladdersMatter #UrologyCareFoundation #BladderCancer

For more facts about bladder removal surgery and bladder health, visit UrologyHealth.org.

What is a Bladder Removal (also called Cystectomy)?

A cystectomy is the surgical removal of the bladder.There are two types of cystectomy: partial cystectomy and radical cystectomy.

Partial Cystectomy
For partial cystectomy, the tumor is surgically removed and the remaining bladder is sewn back together. A partial cystectomy is done only in very specific cases.

Radical Cystectomy
A radical cystectomy is when the entire bladder is surgically removed. This is the more
common treatment for muscle-invasive bladder cancer. Because the cancer has grown into the muscle, the doctor will remove:
• The whole bladder
• Nearby lymph nodes
• Part of the urethra
• and the prostate in men
• The uterus, ovaries, fallopian tubes and part of the vagina (in women). Other nearby tissues may also be removed.

Because the bladder is removed, the urine must be diverted using a piece of intestine, and this is performed surgically during the bladder removal (radical cystectomy).

Pelvic Lymph Node Dissection
Bladder cancer can spread to the lymph nodes. Lymph nodes are the fatty tissue around the pelvic blood vessels. For a pelvic lymph node dissection, the lymph nodes of the pelvis are surgically removed.

A pelvic lymph node dissection is used to find out if the cancer has spread beyond the bladder into the lymph nodes and is believed to be an important part of the operation. A pelvic lymph node dissection may also be done to treat cancer if it is only in the lymph nodes.

Bladder Removal Surgery
Your bladder can be removed by a robotic or an open approach. There is no major difference between the two. A robotic approach uses computers and small instruments to aid the surgeon during the procedure, resulting in smaller incisions. In the open approach, the doctor makes one larger cut in the middle of the abdomen to remove the bladder.

Bladder Removal Recovery & Side Effects

You may have side effects after most Muscle Invasive Bladder Cancer treatments. Here is some of what you may expect:

• Pain
• Change in bowel function
• Leaks — from the stoma (opening)
• Infections
• Hot flashes
• Sex and fertility issues- make sure you talk with your surgeon about how your sexual function and ability to have a child may be changed by the operation.

Routine follow-up is very important! Be sure to follow-up with your health care provider, as they will need to assess you for some time after surgery. Assessments can include some or all of the following:

• Imaging (such as a CT scan) about every 6-12 months for 2-3 years; and then once a year.
• Laboratory tests every 3-6 months for 2-3 years; and then once per year after. Kidney and liver function tests will be a part of these tests.
• Assessment for quality of life issues such as urinary symptoms and sexual function.

Mayo Clinic Q&A podcast: Bladder cancer patients require ongoing surveillance
Mayo Clinic Q&A podcast: Bladder cancer patients require ongoing surveillance administrator 1 Views • 2 years ago

Bladder cancer is a common type of cancer that begins in the cells of the bladder, a hollow muscular organ in the lower abdomen that stores urine. Bladder cancer signs and symptoms can include blood in the urine, frequent or painful urination, and back pain.

"The vast majority of bladder cancer patients are diagnosed with cancer that's not imminently life-threatening, but they tend to be aggressive," says Dr. Mark Tyson II, a Mayo Clinic urologic surgeon. "So bladder cancers, even if they're not life-threatening when they're first diagnosed, tend to recur."

For this reason, people with bladder cancer typically need follow-up tests for years after treatment to look for the recurrence of their cancer.

May is Bladder Cancer Awareness Month. On this Mayo Clinic Q&A podcast, Dr. Tyson discusses bladder cancer diagnosis, staging and treatment.

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Understanding Common Bladder Cancer Treatment Side Effects
Understanding Common Bladder Cancer Treatment Side Effects administrator 0 Views • 2 years ago

Link to Full Transcript: https://bit.ly/36D8xFD

Dr. Shilpa Gupta of the Cleveland Clinic reviews the most common side effects of bladder cancer therapies.

Dr. Shilpa Gupta is the Director of the Genitourinary Medical Oncology at Taussig Cancer Institute and Co-Leader of the Genitourinary Oncology Program at Cleveland Clinic. Dr. Gupta’s research interests are novel drug development and understanding biomarkers of response and resistance to therapies in bladder cancer. Learn more about Dr. Gupta: https://my.clevelandclinic.org..../staff/24785-shilpa-

Patient Empowerment Network (PEN) is a 501(c)(3) non-profit organization. PEN’s mission is to fortify cancer patients and care partners with the knowledge and tools to boost their confidence, put them in control of their healthcare journey, and assist them in receiving the best, most personalized care available to ensure they have the best possible outcome. Subscribe now to receive the latest news on cancer treatment and research: powerfulpatients.org/connect

How Does Immunotherapy Work? – Bladder Cancer Immunotherapy Animation
How Does Immunotherapy Work? – Bladder Cancer Immunotherapy Animation administrator 0 Views • 2 years ago

How Does Immunotherapy Work? A video with animation showing how bladder cancer immune therapies work was produced by https://bcan.org, the Bladder Cancer Advocacy Network (BCAN).

Read the transcript by clicking here: http://bit.ly/2HEqkde

In this video about immunotherapy for bladder cancer treatment, Peter H. O’Donnell, MD, meets with Kevin, a bladder cancer patient, and his wife. They discuss Kevin's treatments to date, the results of his scans, and his immune therapy options as the next best treatment for his bladder cancer.

The patient’s scans show that rounds of chemotherapy did not eliminate the bladder cancer and it is growing again. Since the chemotherapy did not kill the cancer, Dr. O’Donnell offers immunotherapy, a relatively new cancer treatment, as his recommended next step. This newer IV-administered treatment is different than Bacillus Calmette-Guerin (BCG) therapy, an older bladder cancer treatment which is administered directly to the bladder.

Dr. O’Donnell explains how immunotherapy works by drawing on a paper. Animations then show bladder cancer cells, immune cells, and how they interact. A protein on the surface of bladder tumor cells allows it to hide from the body’s immune cells. As a result, the body’s blinded immune cells can’t fight and destroy the bladder cancer tumor, so it grows.

When successful, immune therapy drugs remove the surface protein signals from the cancer cells, allowing the body’s own immune cells to recognize and fight the cancer cells and shrink the bladder tumor. In addition, the immune therapy stimulates and revs up the immune cells.

Side effects of immunotherapy differ from those of chemotherapy for bladder cancer. Most people receiving immunotherapy have minimal side effects, such as rashes and tiredness. In rare instances though, the immune system gets too revved up, resulting in immune cells attacking the body’s other healthy cells in an auto-immune response. If this response occurs, the auto-immune attacks can usually be reversed with steroids.

Of the two main bladder cancer treatment options, chemotherapy, even with its bladder cancer treatment side effects, is the usual first “tried and true treatment” for a patient with a bladder cancer diagnosis.

But in patients who can’t tolerate chemotherapy or for whom chemotherapy stops working, immunotherapy can be the second step standard of care for bladder tumor treatment. It has been shown to shrink tumors in 20 percent of patients, and it freezes the tumor size in another 20 percent. So almost half of patients benefit from immunotherapy. And for the patients who do benefit, the bladder tumor may not grow again for many years.

Immunotherapy is administered by IV infusion, usually in an outpatient medical center.

When chemotherapy hasn’t worked, immunotherapy can give hope to bladder cancer patients and improve bladder cancer survival.

About BCAN:
The Bladder Cancer Advocacy Network (BCAN) is a community of patients, caregivers, survivors, advocates, medical and research professionals united in support of people touched by bladder cancer.

Since our founding in 2005, BCAN has been on the front-lines advocating for greater public awareness and increased funding for research to identify effective treatments and eventually, a cure for bladder cancer. For more information, visit: https://www.bcan.org/.

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