Bladder cancer begins when cells in the urinary bladder start to grow uncontrollably. As more cancer cells develop, they can form a tumor and spread to other areas of the body. The bladder is a hollow organ in the pelvis with flexible, muscular walls. Its main function is to store urine before it leaves the body. Urine is made by the kidneys and is then carried to the bladder through tubes called ureters. When you urinate, the muscles in the bladder contract, and urine is forced out of the bladder through a tube called the urethra.
BLADDER CANCER PROGRAM
Bladder cancer is related to age and exposure to environmental carcinogens, primarily smoking.
- The median age of bladder cancer diagnosis is 70 years for men and women.
- Smoking is the most common cause of urothelial cancer.
- A diet rich in fruits and vegetables is protective against bladder cancer formation
NMIBC (Non Muscle Invasive Bladder Cancer)
- Flexible Cystoscopy
- Intravesical Immunotherapy
- Intravesical Chemotherapy
- Narrow Band Therapy
MIBC (Muscle Invasive Bladder Cancer)
- Laparoscopic Radical Cystectomy
- Illeal Conduit
MULTIMODALITY TREATMENT (all at single healthcare facility)
WE FOLLOW NCCN GUIDLINES
LAPAROSCOPIC RADICAL CYSTECTOMY
Radical Cystectomy is an extra major surgery with potential for major complication like bleeding & infection but having excellent cancer control. Laparoscopic Radical Cystectomy avoids all major complication with excellent cancer control leads to minimal morbidity with early recovery.
• Small incision • Minimal blood loss • Less pain • Early recovery
Patients with laparoscopic radical cystectomy are usually discharged by 5th day.
After radical cystectomy the surgeon creates a new way for urine to leave the body. This new system is called a urinary diversion. An orthotopic neobladder, usually just called a neobladder, is one type of internal urinary diversion.
The surgeon takes a segment of the small intestine and uses it to form a new (neo) pouch for urine. This new bladder (neobladder) is attached to the ureters and the urethra, so urine passes through it like a normal bladder.
Urinary diversion need not be a bag. Continent neobladder is the standard of care after radical bladder surgery.