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Article #461: Bladder Cancer Treatment Options

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There are many different treatments require an opening for urine discharge
available for people diagnosed with (urostomy). Recent advances in surgical
bladder cancer. Treatment depends mainly procedures are decreasing the number of
on the stage of cancer. A cancer caught people with urostomies.
early enough will require less dramatic Chemotherapy can also be used to treat
measures than more advanced cancers. The bladder cancer, often in combination with
most common treatment options are surgery. Chemotherapy is a whole body
surgery, radiation therapy, chemotherapy treatment, meaning it affects the entire
and immunotherapy. In certain cases, body not just the bladder. This is why
your doctor may combine two or more many chemotherapy patients experience
treatment options, most commonly side effects such as nausea, bruising,
combining surgery with chemotherapy or headache and fatigue. Chemotherapy uses
radiation therapy. drugs (for example valrubicin, thiotepa
Surgery may be performed with both early and doxorubicin) to kill cancer cells.
and advanced bladder cancers. When These drugs can be given either in the
bladder cancer is caught early on, the form of a pill to be swallowed or
tumor may be removed through the urinary injected into a vein. If your bladder
opening, or urethra. This involves cancer is caught early enough, you may
inserting small surgical instruments and have the choice of receiving chemotherapy
a laparoscope through the urethra. The directly into your bladder through the
laparoscope is like a small telescope and urethra.
is used to find the tumor and Radiation therapy can also be used to
successfully remove it. This type of treat bladder cancer. This may be used
surgery is called a transurethral after surgery to kill any cancer cells
resection and rarely results in the that may have been missed by the surgeon.
patient requiring an external urine There are two ways radiation therapy may
collecting method. be performed, you may either receive a
Once bladder cancer has spread, the dose of radiation from a machine, or your
surgical treatment usually involves tumor is planted with radioactive 'seeds'
complete or partial bladder removal. A that slowly release their radiation. The
partial bladder removal (cystectomy) is side effects of radiation therapy can be
often reserved for patients with less an inflamed rectum, inability to control
invasive types of bladder cancer (usually your bladder muscles, rash, or impotence
cancers that start in cells associated (in men).
with frequent infections or irritations) Immunotherapy, also called biological
that occur near the top of the bladder. therapy, is a treatment designed to boost
A complete, or radical, cystectomy may a person's immune system so the body can
also involve removal of nearby tissues. rid itself of the cancer. This is
For men, a radical cystectomy often accomplished by injecting a vaccine
includes removal of the prostate, the derived from the tuberculosis bacteria
lymph nodes near the hip and the semen into the urethra. This vaccine puts the
conducting tubes. For a woman, a radical immune system on high alert and causes it
cystectomy also includes removing the to kill the cancer cells. Common side
reproductive organs (uterus, ovaries and effects to this treatment option are an
fallopian tubes), part of the vagina and inflamed bladder or prostate and flu-like
the urethra. If you do undergo surgery symptoms.
to remove your bladder cancer, you may






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