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Bladder Cancer Treatment: Intravesical Therapy - Urology Care Foundation
Bladder Cancer Treatment: Intravesical Therapy - Urology Care Foundation administrator 2 Views • 2 years ago

If you are a patient with non-muscle invasive bladder cancer, it is important to know your choices for treatment. Based on your diagnosis, your urologist may suggest intravesical therapy.

What is Intravesical Therapy?
Intravesical therapy is a treatment where a liquid drug is administered into the bladder to help treat any leftover bladder cancer after a TURBT procedure. It also helps cut the risk of recurrence.

The most common intravesical therapy is known as BCG. This therapy is one of the earliest forms of “immunotherapy,” as it uses your immune system to help get rid of any leftover bladder cancer cells.

Intravesical Therapy Procedure

The treatment does not start until you are fully healed from TURBT surgery, most often 2 to 4 weeks after surgery and it is done in the doctor's office. During the procedure, the drug is put into the bladder through a catheter. A catheter is a small tube that goes into your bladder through your urethra You hold the drug in your bladder for 1 or 2 hours, and then pass it out. You often can go home that same day. You can expect to receive six treatments during the first treatment phase – about once a week for six weeks.

Intravesical Therapy Recovery & Side Effects:
You may have side effects such as an increase in the need to urinate, and the urge to urinate more often, pain, blood in the urine, tiredness, and muscle aches. These side effects mostly stop a few days after treatment. Sometimes, intravesical immunotherapy may cause flu-like symptoms such as fatigue and a low-grade fever.

Intravesical Therapy Risks:
Very few people have severe symptoms from intravesical therapy. If you do have severe symptoms, you may require a dose reduction or a “break” from therapy. A rare complication is an infection, which could require IV antibiotics and hospital admission.

If BCG is not available, or if your urologist feels you may not benefit from this therapy, you may be offered intravesical chemotherapy. Some of the drugs that are used include gemcitabine, docetaxel, and mitomycin and or a combination of these drugs.

Once you complete intravesical therapy, your urologist will schedule you for a “re-staging cystoscopy” and possible bladder biopsy to see if the treatment was effective.

If your bladder remains free of cancer, your doctor may suggest more treatment (called maintenance therapy) to keep the tumor from coming back. This means you may from time to time get treatments in your bladder.

It is important you talk to your urologist about any questions or concerns you have about this treatment.

TURBT Transurethral Resection of Bladder Tumor, Male PreOp Patient Education
TURBT Transurethral Resection of Bladder Tumor, Male PreOp Patient Education administrator 2 Views • 2 years ago

TURBT Transurethral Resection of Bladder Tumor, Male PreOp Patient Education & Patient Engagement
https://preop.com/preop/turbt-....transurethral-resect

Patient Education and Patient Engagement Company

Your doctor has recommended that you have a TUR-BT or Transurethral Resection of a Bladder Tumor.

Before we talk about the procedure, let’s review some information about your body and your medical condition.

The bladder holds urine until you release it.

It stretches like a balloon as it fills with urine. Muscle in the wall of the bladder works to push urine out of your body through your urethra.

Your surgeon has recommended a TURBT to remove a tumor from the lining of your bladder. About half, or 1 in 2 bladder cancers are found early.
That means the tumor is still in the lining of the bladder and hasn’t spread.

Bladder Cancer can be diagnosed at any age, but is most common in patients that are over 55 years old, are men and are white

Bladder Cancer is most often linked to smoking and exposure to certain chemicals in the workplace

With a TURBT , (or Transurethral resection of bladder tumor), a surgeon uses a scope to look at the bladder lining and remove the tumor.

A scope is an instrument with a light and camera. It has a loop at the tip that can cut with heat energy.

The tumor is sent to a pathology lab for examination. Further treatment may be needed in the future, after this surgery for your cancer. These plans are made if needed after the procedure and based on the final lab results.

Now let’s talk a little more about what happens during a TURBT.

Patient Education and Patient Engagement Company

To start, you are given anesthesia to keep you free of pain during the procedure.

You are positioned carefully.
An instrument with a camera, called a scope, is then gently inserted into the urethra.
A numbing gel is used to help the scope glide easily.

Once the scope is inside the bladder, your doctor will fill your bladder with water or saline (pronounced say-leen)

Using the fiber-optic light and camera lens of the scope to see, your surgeon will look carefully at the walls of your bladder.

The tumor is cut away from the bladder in small pieces using the loop.
Your surgeon uses suction to carefully remove those pieces from the bladder.

The loop is also used to stop any bleeding that is seen.
After the surgeon makes a final inspection of the bladder the scope is removed.

A thin soft tube, called a Foley catheter may be placed in your bladder.

This tube can be used to fill your bladder with chemotherapy as part of the procedure if needed. This chemo or medication is used to prevent loose tumor cells from sticking to your bladder lining.

Sometimes the foley is left in for a few days to keep your bladder empty for healing. When it is time to be removed, the balloon is deflated and the tube easily slides out.

If your surgeon recommends chemo during the procedure, it will stay in your bladder for 1 hour. The decision depends on the size, type and number of tumors removed.
This medicine will not make you feel sick. You may have some bladder irritation from this.

Ask your doctor if this treatment is planned for you.

Patient Education and Patient Engagement Company

After surgery, tell someone on your care-team if you have unexpected pain, dizziness or trouble breathing. You will have some discomfort but pain should improve with medication.

After you are discharged to home from surgery, you may feel well and have no problems.

Some patients will have pain with urination, bladder spasms and frequent urination.

You may see blood and small blood clots in your urine for a few days, even in a few weeks as scabs heal in your bladder where the tumor was removed.

RIsks of the procedure are damage to the bladder, nearby tissues, infection and bleeding.

Call your doctor if you: cannot urinate, have a fever, worsening pain or bright red bleeding that doesn’t stop

Hospital admission, medication or surgery may be needed to fix some complications. You may need to keep the catheter in for a longer time than expected.

Be sure that you understand why this procedure has been recommended for you.
All surgery and anesthesia have a small risk of serious injury or very rarely death, about 1 in 100,000

If you have questions about this procedure or need further information about alternatives, ask your surgeon.

This video is intended as a tool to help you to better understand the procedure that you are scheduled to have or are considering. It is not intended to replace any discussion, decision making or advice of your surgeon.

A Patient Education and Patient Engagement Company

#urology #UrologyAwarenessMonth #ProstateCancer

Understanding Bladder Cancer
Understanding Bladder Cancer administrator 0 Views • 2 years ago

Visit our website to learn more about using Nucleus content for patient engagement and content marketing: http://www.nucleushealth.com/

#BladderCancer #UrothelialCarcinoma #TransitionalCellCarcinoma

The most common type of bladder cancer, called urothelial carcinoma or transitional cell carcinoma, begins in the tissue lining the inside of the bladder. This video will help you understand more about bladder cancer and how it affects your body.

ANH18216

I Had No Symptoms When I Was Diagnosed with 2 Cancers in My Bladder | Margo's Story
I Had No Symptoms When I Was Diagnosed with 2 Cancers in My Bladder | Margo's Story administrator 4 Views • 2 years ago

Margo W. never expected to develop bladder cancer, let alone 2 cancers at the same time. She had no symptoms, pain or discomfort when one day she noticed blood in her urine. She visited her OB/GYN and a nurse told her, "let's just keep an eye on it." But she pushed to make an appointment with a urologist and urologist oncologist. At first, she was diagnosed with stage 1 bladder cancer. But then, she learned she had a second cancer, plasmacytoid, that was described as “sneaky, asymptomatic and 100% fatal and recurring.” In this story, she shares how pushing for several medical opinions helped save her life.

Margo's Full story & transcript →
https://www.thepatientstory.co....m/patient-stories/bl

The interview has only been edited for clarity.

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Contents of this video:
00:00 - Intro
01:49 - Describe your first symptoms? Blood in urine
04:54 - Describe your next steps: How did you find out you had bladder cancer?
08:22 - Cystoscopy and TURBT
09:52 - Managing ‘scanxiety’ while waiting for results
12:07 - Processing the diagnosis
13:39 - Breaking the news to loved ones
17:23 - Getting a second opinion
25:10 - Processing a second diagnosis
26:16 - The importance of self-advocacy & getting additional opinions
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#cancerstories #cancerpatient #cancersurvivor #patientstories #thepatientstory #BladderCancer #blcsm #BladdersMatter #urology #plasmacytoid #self-advocacy #secondopinion

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