Painless hematuria should be valued to check the bladder Early detection of bladder cancer can preserve the bladder Although the occurrence of hematuria is not always bladder cancer, hematuria is indeed a distinctive feature of bladder cancer, and in the early stage, there are few other features other than this. Hu Qiang regrets that clinically, many people do not pay enough attention to hematuria. Some patients are a little nervous when they first find hematuria, but forget about it after a few days when it disappears, not knowing that if it is indeed bladder cancer, the disappearance of hematuria is only due to self-clotting after the blood vessels in the bladder rupture.
Once the diagnosis of bladder cancer is confirmed, surgery is the first choice. If the disease is relatively mild, the tumor can be removed through urethral surgery, and an electrodesiccoscope similar to cystoscope can be put in through the urethra to remove the bladder tumor from the cavity and take it out, so that the bladder can be preserved; once the disease is heavy and there is muscle layer infiltration, total bladder resection is mostly required, and a stoma should be made after bladder removal.
Bladder cancer is most likely to recur one or two years after surgery Regular bladder irrigation and review cannot be saved “Most patients think that since bladder cancer is not highly malignant, it is done after surgery, in fact, within one or two years after surgery, the recurrence rate is very high.” Hu Qiang introduced that now the most effective method clinically proven to prevent recurrence is bladder irrigation, which is to regularly instill some chemotherapy or immunity-boosting drugs in the bladder through a catheter, but many patients are afraid of trouble and save it. And long-term clinical findings show that the recurrence rate of bladder perfusion within two years is only about 20%, while the recurrence rate without perfusion can reach 60%-70%, and after the two-year hurdle, recurrence may be greatly reduced.
Hu Qiang said that the two clear causative factors of bladder cancer are smoking and chemical work, 30%-50% of bladder cancer is caused by smoking, smoking can increase the risk rate of bladder cancer by 2-6 times, with the prolongation of smoking time, the incidence of bladder cancer is also significantly higher, therefore, the prevention of bladder cancer, at least control of smoking is what we can work on. 45 years old and above, people may want to add a bladder ultrasound to their physical examination. Perhaps bladder cancer can be detected.