Bladder Cancer Treatments

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Dr Vijayant Govinda Gupta is an expert urologist and oncosurgeon with lot of experience in the management of bladder cancer. For bladder cancer treatment delhi, or turbt delhi contact me today via email free or take an appointment or you could drop a message below. This page curates the best information for patients and present my experience in treating bladder cancer and bladder cancer surgery Delhi.

Bladder Cancer Treatment Delhi

Bladder cancer is a common cancer, presenting with blood in urine, and with variable survival depending on different data and surgeon experience. To know more about bladder cancer read my page on presentation and diagnosis of bladder cancer.

Bladder Cancer - Investigations

Patients with bladder cancer commonly complain of passing blood in urine.
The common tests required to diagnose bladder cancer are

1. Ultrasound - this is a commonly available and cheap test. in this the radiologist will ask you to hold your urine until you have a strong desire to pass urine. At this point, the radiologist will then place a probe on your stomach and see your bladder and any cancer within.

2. Contrast enhanced CT - CECT is the most important investigation. CECT will help find out about the tumor size, its characteristics, its stage and whether it has spread? Unfortunately, if your creatinine is raised, or the bladder cancer has caused your kidneys to fail (Hydronephrosis secondary to ureteric involvement), you will not be able to undergo a cect. In these cases you will require stabilization before undergoing CECT

3. MRI - Patients not fit for CECT due to kidney failure and bladder cancer, will be investigated with MRI.

4. Bone Scan - Bladder cancer normally spreads to the bones causing painful bone pains. Bone scan is a test used to detect bone metastasis.

5. FDG Pet CT - FDG Pet Ct in bladder cancer is the new modality to detect metastasis. Though expensive, it is a reliable way to detect metastatic disease.

Bladder Cancer Treatment - TURBT Delhi- TURBT

Once a patient is diagnosed with bladder cancer, then you need a cystoscopy and turbt.

TURBT stands for transurethral resection for bladder tumor. TURBT in Delhi NCR is performed by Dr Vijayant Govinda Gupta.

In TURBT, a endoscope is put inside your bladder via your penis. There is no incision or scar on your body. With the scope the surgeon visualises the tumor and cuts it from within. This serves three purposes.

Removes the tumor - allowing biopsy

Stops the blood in urine

In some cases this procedure may be curative.

Restage TURBT

One TURBT is not enough to either cure or stage the disease. After the first TURBT, the first biopsy report will be available. Bladder cancer biopsy report will contain two important informations.

Grade of bladder cancer - This may be high or low. Low is good news, high not so much.

Deapth of invasion - the bladded cancer may invade the wall of the urinary bladder to variable deapths. If the disease is deep, it is called T2 or muscle invasive disease and qualifies you for a radical cystectomy.

If your first TURBT, reveals a disease less than T2 (T0 or T1) , then you may need another TURBT called a restage TURBT to confirm that we are not missing T2 disease.

Radical Cystectomy

If you have T2 disease, then it is called muscle invasive disease. People with T2 or muscle invasive bladder cancer can be cured and live healthy lives. But first you will undergo CECT and a bone scan to rule out metastasis or advanced disease.

The best cure for muscle invasive cancer urinary bladder is radical cystectomy. In this surgery the entire urinary bladder is removed surgically and your kidneys will be joined to a new bladder. This new bladder is made of intestine and has to be reconstructed. This new bladdder is of 3 types.

  1. Orthotopic Neobladder - the most difficult surgery in urology, i reconstruct your bladder with intestine inside your body allowing you to pass urine naturally as always. This surgry is difficult and complicated but has excellent results.
  2. Continent Cutaneous Diversion (CCD) - The bladder is built inside the body but instead of passing urine through the penis, the hole will be made in the stomach and u will have to put a pipe to remove urine every 2 hours.
  3. Ileal conduit - Easiest to manage, the bladder is made outside and urine comes in a bag.

All three surgeries are excellent alternatives and which suits you best is a decision made after detailed consultation.

Other alternatives to Surgery

TURBT and Bladder Cancer treatments are not always surgery. Depending on your age, choice and clinical conditions, other alternatives like intravesical BCG, radiotherapy or chemotherapy can be used.

Contact Me for Bladder cancer surgery delhi/bladder cancer treatment Delhi/ TURBT Delhi

If you suffer from cancer urinary bladder, then you can contact me via email or take an appointment. With a wealth of experience, I can provide you the best long term results you are looking for.

 

FAQ Bladder Cancer Treatment

bladder cancer treatment

BCG or Bacillus Calmette Guerin is a bacteria (variant of tuberculosis).

It is used as a vaccine in children to protect against TB.

It was found that putting it in urinary bladder in bladder cancer patients, cures them.

The strategy of putting bcg in bladder cancer patients is called intravesical BCG.

Dr Vijayant Govinda Gupta is an expert in bladder cancer treatment and intravesical bcg in DElhi NCR. . On this page he curates his experience and information for patients. Get free E Consult via email or leave a message.

Radical cystectomy is a surgical procedure performed by an urologist.

It is the treatment of bladder cancer.

The bladder is removed and replaced with an artificial bladder made of intestine.

Dr Vijayant Govinda Gupta is an expert urologist specialised in radical cystectomy.

Free consutation – email or leave a message.

Bladder cancer is best treated by a urologist.

Dr Vijayant Govinda Gupta is an urologist in Delhi NCR and Gurgaon, specialises in the management of bladder cancer.

Qualified in TURBT in Gurgaon and NCR.

Leave a message or Email for a free e consult.

Bladder cancer is treatable and curable. It depends on your disease and the expertise of a competent urologist.

Dr Vijayant Govinda Gupta is a urologist and expert in the management of bladder cancer in Delhi NCR.

Contact today via email or leave a message.