Bladder cancer is a cancer that starts in the bladder, the body part that holds and releases urine.
The exact cause of bladder cancer in uncertain. However, several things may make you more likely
to develop it, including: cigarette smoking, chemical exposure at work, chemotherapy, radiation
treatment, and long-term infection.
Blood in the urine
Urinary frequency and urgency
Diagnosing Bladder Cancer
Your doctor will perform a detailed history and physical examination, including a rectal and pelvic
exam. Tests that may be done to look for bladder cancer include:
CT scan: x-ray imaging that show detailed views of the abdominal and pelvic organs
Urinalysis: a test performed in the doctor's office used for finding blood in the urine
Urine Cytology: detailed microscopic evaluation of the urine looking for cancer cells floating in the
Cystoscopy: visualization of the inside of the bladder with an endoscope
Bladder biopsy: usually done in the operating room, where suspicious areas are sampled to determine
if cancer is present
Bladder Cancer Treatments
Treatment depends on the stage of the cancer, the severity of your symptoms, and your overall health.
Superficial bladder cancer:
Cancer in the lining of the bladder.
Treatment usually involves removing the tumor through an endoscope.
Subsequent treatment may include chemotherapy and/or immunotherapy treatments, which is medicine
instilled into the bladder over a series of weeks. This helps to reduce the chance that the
cancer may return.
Routine follow up is needed to ensure that the cancer hasn’t returned. This usually involves repeat
Cystoscopy in the office every 3-6 months for several years.
Muscle-Invasive bladder cancer:
Cancer that has grown into the wall of the bladder.
If the bladder cancer has progressed, and has grown into the wall of the bladder, much more aggressive
treatment is warranted.
Complete removal of the bladder.
This is major surgery, usually involving a hospital-stay of up to a week. The lymph nodes around
the bladder are also removed to determine if the cancer has begun to spread.
If you are a male, the prostate is removed along with the bladder.
If you are a female, the uterus and ovaries are removed, if still present.
Once the bladder is removed, the options for removing the urine are:
A small section of your small bowel is used to create an ostomy on your abdomen for urine to drain
into a bag. This is the most common type of diversion, and offers greatest ease of use and lowest
Neobladder: A larger section of your small bowel is used to create a reservoir in which to hold your
urine inside you body. It is attached to the urethra, and the patient continues to urinate much
in the same way as you do now. While a more attractive option for some patients, it is not for
everyone and comes with it’s own set of drawbacks. Ask your urological surgeon if this option is
right for you.
Robotic Surgery for Bladder Cancer: at Urology Centers of Alabama, the physicians continue to lead
the forefront in robotic surgery for various urological diseases. With an expanded robotics program
for the treatment of bladder cancer with robotic radical cystectomy. Specially trained robotic
surgeons at Urology Centers of Alabama are among the nations’ most experienced in the field of
Robotic surgery offers many advantages including:
Much less blood loss, resulting in very seldom need for blood transfusions
Shorter hospital stay
Better cosmetic result
Ask your urologist if robotic surgery might be an option for you.
Radiation & Chemotherapy: If surgery is not an option for you, due to poor overall health, your doctor
may recommend combination radiation and chemotherapy to kill the cancer.
As with all treatments, side effects are possible. Be sure to ask your doctor the pros and cons to
each option, to decide which is right for you.