Twenty years of bladder cancer hematuria can be treated with surgery, chemotherapy and radiation therapy among other methods.
Hematuria is a common symptom of bladder cancer, but hematuria is not related to the severity of bladder cancer. Twenty years of bladder cancer can be treated with surgery and chemotherapy. The specific treatment of bladder cancer depends on the depth of infiltration of bladder cancer.
1. Non-muscle invasive bladder cancer: that is, the tumor has not invaded the muscle layer. For this type of bladder cancer, transurethral cystectomy is the main treatment. The tumor should be completely removed from the normal muscle layer of the bladder wall.
However, there is a risk of recurrence after surgery, and bladder instillation of chemotherapeutic drugs, such as BCG, mitomycin, should be performed 24 hours after surgery.
2. Muscle invasive bladder cancer: radical cystectomy combined with combined pelvic lymph node dissection is the standard treatment.
Chemotherapy is an important adjuvant means, and the chemotherapy regimen is a platinum-based combination regimen, including cisplatin, gemcitabine, and adriamycin. Radiotherapy can be applied alone or in combination with chemotherapy in one phase.
For inoperable metastatic bladder cancer, the preferred approach is chemotherapy, while palliative cystectomy and urethral diversion are also commonly used.