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.
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.
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.
- 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.
- 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.
- 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.