Does bladder cancer require the removal of the bladder?

Written by Liu Liang
Oncology
Updated on September 20, 2024
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Whether or not to remove the entire bladder in cases of bladder cancer depends on whether the tumor has invaded the base layer and whether there is distant metastasis. For non-muscle invasive bladder cancer, where the muscle layer is not invaded and there is no distant metastasis, typically found in stage 0 and stage 1 bladder cancer patients, there is no need for complete removal of the bladder. The standard treatment in such cases generally involves transurethral resection of the bladder tumor. If the tumor has invaded the base layer but there is no distant metastasis, termed muscle-invasive bladder cancer, patients in this category require radical cystectomy, which involves the removal of the entire bladder. If there is distant metastasis, termed metastatic bladder cancer, surgical treatment is not pursued; instead, palliative chemotherapy is the primary approach.

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Written by Zhou Zi Hua
Oncology
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What are the symptoms of late-stage bladder cancer?

The symptoms of late-stage bladder cancer include: 1. Difficulty urinating. Due to the large size of the tumor, its location at the neck of the bladder, or the formation of blood clots, there can be blockage of urine flow, difficulty urinating, and even urinary retention. 2. Bladder irritation symptoms. Early-stage bladder often shows fewer urinary irritation symptoms, but when the tumor occurs in the trigone area of the bladder, urinary irritation symptoms may appear earlier. There are also symptoms of upper urinary tract obstruction, such as when the cancer invades the ureteral orifice, causing dilation and accumulation of fluid in the renal pelvis and ureter, and even infections leading to backache, waist pain, fever, etc. Additionally, there are general symptoms, including nausea, reduced appetite, fever, weight loss, anemia, cachexia, and more.

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Written by Liu Liang
Oncology
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How is bladder cancer caused?

The causes of bladder cancer are not very clear so far, and they are related to factors such as environment, genetics, and lifestyle habits. However, two major risk factors are quite clear: one is smoking, and the other is long-term exposure to aromatic amines, which are occupational factors that are significant risks for causing bladder cancer.

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Written by Wu Xia
Oncology
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Diet for Bladder Cancer Patients

From the perspective of Western medicine, the diet for bladder cancer patients involves drinking plenty of water, avoiding spicy foods, and abstaining from alcohol and tobacco. Patients should also ensure they get enough vitamins by consuming fresh fruits and vegetables. Additionally, it is important to consume adequate nutrition including eggs, meat, and fish, and patients should not hold in urine. However, from the perspective of Chinese medicine, bladder cancer patients should avoid foods that induce excessive internal heat, such as lamb and seafood, and should also avoid cold or chilled foods.

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Written by Xu Chun Hua
Urology
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Early symptoms of bladder cancer

Hematuria is the most common and earliest symptom of bladder cancer, with 85% of patients experiencing intermittent gross hematuria which can decrease or stop on its own, often giving patients a false impression of improvement or cure, thus delaying treatment. Sometimes, hematuria is also found under a microscope, and the amount of bleeding is not necessarily consistent with the size, number, or malignancy of the tumor. The hematuria from bladder tumors can initially be mild, and other symptoms such as frequent urination, urgency, and painful urination may also occur; these are all manifestations of bladder tumors.

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Written by Chen Feng
Urology
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Can urine odor be a sign of bladder cancer?

Urine with an unusual odor may be caused by bladder cancer, but the presence of an odor alone cannot be used to diagnose bladder cancer. Clinically, urine with an odor is commonly associated with urinary tract infections, as patients with such infections tend to have a higher amount of inflammatory secretions in their urine. Additionally, patients with urinary tract infections may lose some body water through sweating, leading to more concentrated urine, which can increase the odor. Bladder cancer patients are more susceptible to urinary tract infections, so they may also experience odorous urine. Clinically, bladder cancer is diagnosed through a combination of the patient's symptoms and supportive diagnostic tests. In the early stages of the disease, bladder cancer typically presents as painless hematuria (blood in the urine) that persists for an extended period. A routine urinalysis can be performed to check for elevated red blood cells in the urine. If bladder cancer is suspected, a cystoscopy can be conducted to identify any masses in the bladder and take biopsy samples for pathological examination. The presence of tumor cells in these samples generally confirms a diagnosis of bladder cancer.