Mr. Li will be retired in one year. Recently, when he got up at night to urinate, he hazily felt that his urine had turned red. The next morning when he got up, the first time to solve the urine is really bright red, can not help but feel a shock. When I arrived at work in the morning, I drank water desperately, and gradually the bloody urine became lighter. After two days, the urine automatically regained its clarity. After a few days, he talked to his partner about it, who insisted that he go to the hospital for a checkup, but he said that the unit was busy and wanted to wait until he finished his retirement before going to see it, so he put off seeing the doctor. After another month or so, suddenly one morning, Mr. Li again found bleeding in the urine, this time rushed to the hospital urology department to see the doctor. The doctor who saw him asked him about his condition in detail and had him do a urine test and an ultrasound of his urinary system. The results of the examination surprisingly found that Mr. Li’s bladder grew a “nipple-shaped” lump. Soon the doctor arranged for Mr. Li to be hospitalized and did further tests such as cystoscopy and pelvic CT to clarify that Mr. Li had a “bladder tumor”.
Bladder tumor is the most common tumor in the urinary system and also the more common solid tumor in the whole body. The clinical manifestation of bladder tumor is mainly painless hematuria. Therefore, the discovery of hematuria requires prompt diagnosis, differential diagnosis and treatment. Since the bleeding spots on the mucosal surface of bladder tumor in early stage will sometimes heal by themselves, hematuria often presents intermittent episodes. Timely ultrasound or cystoscopy is beneficial to the early detection of bladder tumors and reduces the incidence of missed diagnosis. However, it is also important to understand that not all red urine is a sign of bladder tumor. In addition to tumors of the urinary system (bladder cancer, pyel cancer, ureteral cancer, etc.), conditions such as stones, inflammation, deformities and trauma can also cause reddening of urine. Therefore, once the symptoms of hematuria (especially carnal hematuria) appear, you need to be alert and go to urology in time to rule out the possibility of urological tumors.
Mr. Li was quickly admitted to the hospital and completed relevant examinations, and underwent transurethral bladder tumor electrosurgery, and the postoperative pathology was non-myeloablative infiltrative bladder tumor. The operation went well and Mr. Li was discharged from the hospital 2 days after the operation with catheter removed. Regular bladder irrigation chemotherapy was given after the surgery. It has been 4 years since the surgery and no recurrence of bladder tumor has been seen.