Artificial bladder in the treatment of bladder (urinary bladder) cancer

Bladder tumors (urinary bladder tumors), bladder (urinary bladder) cancer, which are the fourth most common in men, are malignant tumors arising from the tissues that form the wall of the bladder. It manifests itself with symptoms such as frequent urination, burning during urination, bleeding, urinary incontinence, sudden urgency. bladder cancerIn some types of rheumatoid arthritis, the only treatment can be provided by removal of the bladder (urinary bladder). They delay this surgery in cases where the patient bladder needs to be removed, the most important reason for this is that they will carry a bag. However, when they know that such a thing will not happen, they make the decision for surgery much earlier, which greatly increases the rate of recovery from the disease.

Intestinal bladder (artificial bladder) method is a surgery that allows patients to urinate through the normal urinary opening for a more comfortable life. The most important advantage is that it does not reduce the quality of life and is socially acceptable. prof. Dr. Tahir Karadeniz talked about the treatment of bladder cancer.

What are the causes of bladder cancer?

Bladder, It is a sphere-like organ that stores the urine coming from both kidneys, called the urinary bladder, through the urinary tract (ureters). To malignant tumors arising from the inner surface of this organ bladder (urinary bladder) cancer is called. Bladder cancer is more common in men than women. Smoking and contact with chemical substances in some factory workers are the leading causes.

Bladder cancer diagnosis from the smell of urine becomes possible

What are the symptoms?

The most important symptom painless bleeding from urine and is the arrival of clots. In addition, depending on the types of cancer constant painful urination, burning towards the end while urinating The so-called complaints are also seen. Sometimes this bleeding may not be seen with the naked eye, but it is found in the urinalysis.

How is the diagnosis made?

abdomen or Urinary System Ultrasonography Most of the time, the diagnosis of mass in the bladder can be easily made with the help of intravenous medication. top and lower abdomen CT (Computed Tomography) diagnosis can also be made. However, sometimes if nothing definite can be said with these examinations, then the diagnosis is made by entering the urinary bladder through the urinary bladder through the urinary bladder with a video system with a camera and seeing the inside of the urinary bladder. With endoscopic camera after diagnosis Closed TUR Tm (Tran Urethral Resection tm) surgery is performed.

How is TUR Tm Surgery performed?

It can be done with General Anesthesia or regional anesthesia. By entering through the urinary hole, it reaches the bladder and the cancerous part is removed by cutting with a special electrical device to take samples from all layers of the bladder. The next day after the operation, the patient stands up, usually on the 2nd or 3rd day, the urinary catheter is removed and discharged.

When is radical cystectomy surgery required?

In this surgery lymphatic tissue around the bladder, prostate, part of the lower urinary tract, seminal vesicles and surrounding great vessels is removed. If it is done completely, it takes 6-8 hours. After the operation, the patient stays in the intensive care unit for at least 24 hours, if necessary, and is taken to his room the next day. He is usually discharged from the hospital after 10-14 days.

What is Bladder Cancer? Why does it happen? Symptoms and treatment

Why is lymph tissue removal and its number important?

This is perhaps the most important part of radical cystectomy surgery. Removing lymph tissues requires special training and experience. However, in this surgery, the more lymph nodes are removed, the longer the life expectancy of the patients, and in the presence of cancer in the lymphatic tissues, it can be clearly demonstrated how the disease has actually progressed or not, for additional chemotherapy.

How do patients urinate after bladder removal?

The most commonly used method It is the “ileal conduit”. Two ureters are connected to one end of a 12-15 cm piece of small intestine, the other end of the piece of intestine is attached to the abdominal skin. Urine coming from the ureters to this part of the intestine is filled into a bag that adheres to the skin, and as the bag fills, the patients empty the bag. The bag that sticks to the skin should be changed every 2-3 days on average. An important alternative to this old method is the artificial bladder (intestinal bladder) method called “ortotopic bladder”.

What are the advantages of bowel neobladder surgery?

If the necessity of removing the bladder has arisen, it is not easy for the patient to decide on such a major surgery and this delay affects the patient’s life very negatively. The most important advantage of the bowel-to-bladder (artificial bladder) method is that it “does not reduce the quality of life” and is “socially acceptable”. It is an operation performed to enable patients to urinate through the normal urinary opening, so that they can lead a more comfortable life. A part of the intestines is separated and shaped into a sphere and both urinary tracts coming from the kidneys are connected to it, one side of this new bladder is connected to the penile urinary tract. 15-18 of the surgery. The patient’s urinary catheter is removed and training is given to urinate with their new bladder. Learning to urinate takes about 4-5 days, at the end of this process, patients can completely empty their new bladders.




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