Posts Tagged ‘bladder cancer’

Bladder cancer

Sunday, May 30th, 2010

Bladder cancer annually affects about 2000 people in Sweden, especially older men, and is the sixth most common cancer. Symptoms of bladder cancer is blood in the urine, the need to urinate more often than usual, it hurts when you pee and it hurts the pubic bone. In many affected tumor can be easily removed, but the patient must go on periodic inspections. In every third case, the tumor grows so deep that a more advanced treatment is required.

The number of new cases of bladder cancer is increasing steadily. Of those who fall ill is 75 percent women and the disease is most common in older people. There is a clear link between smoking and bladder cancer, but smoking is not the only cause. Studies have shown that certain chemicals in industry may increase the risk of disease in those exposed to them in their work environment.

Urinary tract mucosa is the same all the way from the renal pelvis, down through the ureters and into the bladder and urethra. Tumors can occur throughout the system, but it is most common with tumors of the urinary bladder. Next to the prostate cancer is bladder cancer the most common form of cancer of the urinary tract.


The most common and most important symptom of bladder cancer is blood in the urine. Other symptoms may be the need to urinate frequently, that it stings when urinating, or that it hurts the pubic bone. The symptoms are similar to those we have at a urinary tract infection.

Find Care

You should always contact your GP or hospital if:

  • you have blood in your urine – it is enough that you have seen blood in the urine once and for there to be reason to investigate the cause
  • you need to urinate more often than usual
  • it stings when you urinate and / or you have pain over the pubic bone.

The address and telephone number of a kind reception you can find by clicking on the Find clinic care at the top of the page. You can also contact some receptions and order a time via the Internet. Click on My care contacts on the right.


The bleeding from the urinary tract or if you otherwise suspect bladder cancer is a study, known as cystoscopy, in which the physician into an optical instrument through the urethra. The survey is supplemented with ultrasound and x-ray of the kidneys.


In more than half of the patients the tumor is no direct threat to health and can relatively easily be removed using cystoscopy, an instrument when introduced via the urethra. The procedure is performed in a hospital under general or epidural. Sometimes the patient may go home the same day, but normally you get to stay at least one day in hospital.

Since tumors often grow in depth is the prognosis good. However, they often recur, and therefore it is necessary with periodic inspections during the rest of their lives. The frequent recurrence is sometimes called a bladder wash with chemotherapy or TB vaccine, which activates the body’s own immune system locally in the bladder.

About a third of the tumors growing in depth into the bladder wall musculature or through the bladder wall. It increases the risk that the cancer will spread further to the lymph nodes and other organs. The tumors therefore requires much more advanced treatment. If the tumor is confined to the bladder and the patient is deemed capable of an operation is the entire bladder removed – to make a so-called cystectomy. In men the prostate gland is removed while in women, and sometimes the uterus and ovaries.

This is a procedure which has major implications for the surgery. Either the patient a new bladder constructed of bowel which allows one to urinate the usual way, or you get a colostomy – a bag on his stomach – put up with the catheter or discharged into a urinuppsamlande bandages placed on the abdomen. Virtually all men lose their erection ability after surgery.

If the tumor is very advanced and grow through or outside the bladder wall or when it has spread are given chemotherapy, either alone or in combination with surgery. Treatment may alleviate symptoms and prolong life for the patient but does not cure the disease except in exceptional cases. Radiation therapy does not occur so often, but sometimes used to relieve pain and reduce bleeding or when an operation can not be implemented.

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A new method to diagnose bladder cancer urine sample

Tuesday, May 11th, 2010

A new method to diagnose bladder cancer in urine samples by the screening of 14 genes. Powered by Puigvert Foundation and the Hospital Clinic of Barcelona, in the near future will allow non-invasive techniques adopted to reduce the number of cystoscopy, a test that involves the exploration of the bladder through the urethra.

Those responsible for the urology department of both schools explained that the change with respect to other methods is a “different approach” that involves the pursuit of a “gene pool” and not a single specific marker. The results of the new technique, after seven years of research and an investment of one million euros from the biotechnology firm Fina Biotech, were published n the journal Clinical Cancer Research.

The method, which is currently valid in five centers-the Puigvert Clinic and Foundation in Barcelona, the Virgen del Rocio Hospital in Seville and the urology departments of the Radboud University Nijmegen Medical Centre (Netherlands) and the Medical University of Vienna (Austria) – involves the collection of samples of one thousand patients. The process will be completed in September.

The application method will be effective “by 2013″, allowing a diagnosis of “no doubt” cheaper and with less inconvenience to patients, as currently required bladder cancer practice between 15 and 20 during cystoscopy five years, said the director of the Urology Clinic, Antonio Alcaraz. The service is responsible for it Puigvert Foundation, Antonio Villavicencio, explained that the bladder cancer becomes a “chronic disease”, since in half the cases once again on display, and that requires periodic review. That these reviews are not invasive, a urine test rather than introducing a camera through the urethra, will improve quality of life, he said.

The price of a cystoscopy is around 300 euros, while the new analysis does not exceed this amount according to current forecasts. Also expected to improve the diagnosis, through the possibility of advancing the same, especially the most aggressive tumors. Today, are diagnosed each year in Spain about 15,000 bladder cancers, of which about a third end in death. This is the seventh most common malignancy and the second most common genito-urinary tract, behind the prostate.

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