The most important reason for the formation of bladder tumors originating from the lining epithelium is the use of cigarettes for the urinary system from the kidney to the mesentery called uroepithelium. Apart from the nicotine in the cigarette, some chemical substances (mainly called arylamines) enter the urine while being excreted, causing the urea-epithelium to stay in contact with the epidermis for a very long time, causing deterioration of the epithelium. The risk of bladder cancer is directly related to the duration of smoking and exposure to cigarette smoke in childhood. Bladder cancer can also be seen in people who do not smoke; but the risk is lower for smokers. Men are 4 times more likely than women. However, with the increase in the number of smokers today, the incidence of this cancer type has also increased in women.
Fear of Environmental Pollution from Recurrent Urinary Tract Infections!
One of the most important causes of bladder cancer seen in smokers is environmental pollution. Genetic deficiencies in tumor suppressor genes accelerate the development of Bladder Cancer, making these tumors more aggressive. In people with urinary tract infections, which are very often recurrent and chronic, cancers that we call squamous cell carcinoma can develop. However, it is not true that a bladder tumor usually occurs in people with recurrent urinary tract infections several times a year. Tumors may develop in untreated, untreated patients with very long deciduous stones. But simple cystitis that may happen several times in the past will not cause bladder tumor.
If You Have This Indication Apply Now!
The most important symptom of the bladder tumor is the blood coming from the urine, usually visible. During normal examinations, it may also occur in urine tests. Hemorrhage in the stomach may pass immediately. The patient may not get serious because of 'bleeding'. These can be repeated 6 months or a year later, a day or a half day. In the meantime, complaints such as cystitis, frequent urination, burning in the urine can also affect the bladder muscles and reveal tumor complaints. Everyone over the age of 40 has to urinate twice a year in order to get an early diagnosis. However, even if one does not have a complaint, once a year, small tumors can also reveal the urinary system is useful to have an ultrasonography.
The Most Important Supplement to the Bladder Cancer: Cystoscopy ...
Ultrasonography, especially in radiology, high-grade tumors larger than 3 centimeters. But in cases where there is a possibility of being suspicious or missed, blood is coming in the urine; If ultrasound imaging is not possible, the most accurate and reliable diagnosis can be made using 'Cystoscopy' which is a method of visualizing the surfaces inside the bladder with a light tool, filling the bladder with water.
How are bladder tumors treated? Is the only treatment method surgical?
TUR (Trans Urethral Resection), which is a surgical method for the first diagnosis and biopsy, is performed through the urinary tract in the penis and we endoscopically cut the tumor in the bladder and send it to the pathologist. This gives us some information on how deep the tumor is in the bladder folds and how aggressive it is. This information is sufficient for getting started. Superficial bladder tumors should be removed with TUR in tumors that do not enter the muscle tissue of the brain. In order to prevent recurrence, we do some intravesical drug administration. If the tumor has entered the muscle tissue of the bladder, then according to the tumor's condition, the bladder is completely removed and the bladder is delivered through a bag or a new bladder surgery is performed. Radiotherapy options combined with chemotherapy in some cases are also methods that are effective in the treatment of bladder tumors.
Bladder tumors can repeat. Do not Fix Your Controls on This Face!
Superficial bladder tumors, the tumors found in the bladder muscle, are at risk of recurrence by 70% in proportion to the stage of tumor progression and differentiation within five years. With chemotherapy or immunotherapy
By applying to the bladder once a week for 6 or 8 weeks, we can reduce the 70 percent rate to 30 percent. The risk of recurrence in the superficial layer of the mesenchyme and low-risk bladder tumors is around 5 percent. We do not do medication. The risk of recurrence and muscle involvement in tumors that have gone deeper is 50%. It must be under control. If the bladder is taken, it is not for the bladder; a radiological image at least annually for the purpose of checking the upper urinary tract, an ultrasound and blood transfusion checks every 3 months. In superficial bladder tumors, controls are performed every 3 months for the first year, once every 6 months for the second year and then once a year. Controls usually last for life; but the first 5 years is very important.
To Protect from Bladder Cancer ...
• Definitely stay away from smoking.
• Eat fresh vegetables and fruits.
• Do your best to avoid environmental pollution.
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