Bladder Cancer (cont.)
IN THIS ARTICLE
Surgery is by far the most widely used treatment for bladder cancer. It is used for all types and stages of bladder cancer. Several different types of surgery are used. Which type is used in any situation depends largely on the stage of the tumor. Many surgical procedures are available today that have not gained widespread acceptance. They can be difficult to perform, and good outcomes are best achieved by those who perform many of these surgeries per year. The types of surgery are as follows:
As the name implies, radical cystectomy is major surgery. Not only the entire bladder but also other structures are removed.
If your urologist recommends surgery as treatment for your bladder cancer, be sure you understand the type of surgery you will have and what effects the surgery will have on your life.
Even if the surgeon believes that the entire cancer is removed by the operation, many people who undergo surgery for bladder cancer receive chemotherapy after the surgery. This "adjuvant" (or "in addition") chemotherapy is designed to kill any cancer cells remaining after surgery and to increase the chance of a cure.
Some patients may receive chemotherapy before radical cystectomy. This is called "neoadjuvant" chemotherapy and may be recommended by your surgeon and oncologist. Neoadjuvant chemotherapy can kill any microscopic cancer cells that may have spread to other parts of the body and can also shrink the tumor in your bladder before surgery.
Medically Reviewed by a Doctor on 8/17/2015
Gary David Steinberg, MD
Mark H. Katz, MD
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