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" [it] is important to understand that the treatment for bladder cancer depends very much upon the cell type, the grade, and the stage of the cancer."
In our latest online interview, we spoke with revered consultant urological surgeon Mr Dimitrios Moschonas to get an in-depth understanding of the treatment of bladder cancer. The consultant, who treats patients in Guildford and London, shares the importance of recognising the symptoms of bladder cancer and what a diagnosis entails, as well as much more.
00:00 How quickly does bladder cancer treatment start after a diagnosis?
02:16 How is the treatment for bladder cancer decided?
03:50 What is the most common treatment for bladder cancer?
05:12 What is the latest treatment for bladder cancer?
06:36 What is the survival rate of cancer of the bladder?
07:27 Who treats bladder cancer?
If you are interested in booking a consultation with Mr Moschonas, you can do so today by visiting his Top Doctors profile: https://www.topdoctors.co.uk/d....octor/dimitrios-mosc
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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.
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#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.
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Specialists at the Johns Hopkins Greenberg Bladder Cancer Institute (GBCI) outline a basic overview of the functions of the bladder, and the different types of cancer that can affect the bladder. Learn about symptoms and risk factors for the disease, and how the GBCI’s multi-disciplinary clinical approach is moving research forward. https://www.hopkinsmedicine.or....g/greenberg-bladder-


The presence of malignancy in the bladder can be easily diagnosed using simple tests like a urine analysis and an ultrasound. Dr. Tushar Aditya, Senior Consultant, Uro Oncology, Max Smart Hospital, Saket, lists the diagnosis processes and their nitty-gritty for Bladder Cancer to diagnose and treat them early.
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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