Laparoscopic cystectomy
Can a bladder tumor be removed laparoscopically?
Bladder cancer is one of the most prevalent types of cancer, affecting thousands each year, and men have a greater share of infection than women. The infection is not associated with a specific age stage, but the elderly are more susceptible to infection, and it results from a mutation and abnormal growth of the internal cells that line the cavity. The bladder leads to its abnormal proliferation and division, and it is considered one of the diseases whose causes are unknown until now, but there are factors that may increase the possibility of infection, including smoking, genetics and exposure to radiation while receiving radiotherapy for one of the types of cancers of the abdomen and near the bladder, as well as undergoing one of the types of treatment chemotherapy during treatment for another type of cancer and exposure to chemicals such as those used in some industries such as plastics, rubber or recurring urinary tract diseases such as recurrent infections or stones and
Some types of parasitic infections. Bladder tumors are among the tumors that can be dealt with laparoscopically. Laparoscopic cystectomy has become a widespread technique.
Symptoms of bladder cancer in women and symptoms of bladder cancer in men?
Symptoms of bladder cancer in women do not differ from symptoms in men, but women often discover that they have bladder cancer in the late stages of the disease, because they are not aware of the symptoms that need to consult a doctor. Most of the time it is not accompanied by pain, and it appears over time periods that may reach months between each time and women often associate it with the menstrual cycle and menopause. Symptoms of bladder cancer in men and women include increased urge to urinate, incontinence, swelling of the feet, feeling of fatigue, loss of appetite and weight loss. unexplained
Abdominal and back pain, an urgent desire to urinate, and frequent urination, and the symptoms associated with bladder cancer may vary according to the location, type, and degree of progression of the tumor.
Bladder cancer types
Non-invasive cancer: It is the one that originates in the inner cells of the bladder and does not reach the other layers.
Invasive cancer: It is the one that moves to the other layers of the bladder wall, and it may spread to the rest of the urinary system, and it is one of the types that are difficult to treat.
Non-invasive papilloma: It grows in the inner layer of the bladder in a cylindrical way towards the inside of the bladder.
Flat cancer: It grows on the wall of the bladder only.
Bladder cancer diagnosis
Analysis of a urine sample to detect the presence of blood in the urine and to detect the presence of cancer cells in the urinary cells. .
CT scan of the bladder.
Ultrasound rays.
Taking a sample from the bladder wall for tissue analysis to ensure that there are no tumors or not.
X-ray, which is used to see the upper part of the urethra, is done through a catheter that the doctor inserts from the urethra and injects the dye into the ureter, which spreads to the kidneys during X-ray imaging.
Uses of cystoscopy in diagnosis and treatment:
The cystoscope is one of the modern diagnostic tools in urinary tract diseases, which helps greatly in knowing the causes of the symptoms that the patient suffers from, such as blood in the urine, frequent urination, or pain during urination, as well as the causes of prostate enlargement. The cystoscope is also used to take tissue samples.
The role of the endoscope does not stop in diagnosis only, but it is used as a treatment method for many cases, as it is considered better than traditional surgery.
Laparoscopic cystectomy
Endoscopic excision of the bladder tumor is carried out through a special type of endoscopy that is used with the urinary system, where the tumor is removed endoscopically, as well as a part of the tissue adjacent to the tumor to ensure access to recovery. The entire tumor next to an accurate diagnosis to know the depth of the tumor.
One of the most recent uses of binoculars is binoculars with blue light. During this process, a drug is injected into the bladder, and when a light is illuminated on it from the endoscope’s camera, the cancer cells begin to glow, so it becomes easy to see where these cells are and how far the tumor has spread.
After the laparoscopic cystectomy, the patient may need to rest for a few hours due to being anesthetized during the operation. Doctors are advised to drink fluids for two days or more to ensure that the bladder is cleaned, and the patient may suffer from some pain during normal urination or the presence of blood in the urine as a result of what was done during the operation Therefore, doctors advise using warm water to relieve the burning sensation of urine.
Dr. Mohamed Metwally
Consultant of Urology, Andrology and Infertility at Ain Shams University Hospitals
Cystoscopy cost
The cost of cystoscopy in Egypt depends on the size, location, and nature of the tumor.
The health status of the patient, and the requirements for taking care of his condition.
The type of endoscope that the doctor uses in the operation and its development.
The doctor’s skill, competence, experience and scientific degree.
The level of equipment of the hospital or medical center in which the operation is performed.
The level of service that the patient receives in the hospital or medical center.
Conventional treatments for bladder cancer
The choice of treatment method for bladder cancer depends on the type of cancer, its progression and its spread
Surgical treatment: It is a surgical intervention to remove cancerous cells. During surgery, parts of the bladder and the entire bladder may be removed, which requires rebuilding the bladder. The patient may need to stay in the hospital for six days after surgery until his body recovers from surgery and his organs return to work, such as the intestines.
Chemotherapy: Chemotherapy is often used before bladder tumor operations to increase the chances of recovery from cancer. In some cases, the patient is given chemotherapy after surgery to remove the tumor to eliminate the cancer cells that remain after surgery.
Immunotherapy: This treatment is done by injecting the bladder with a treatment that gives signals to the immune system to fight cancerous cells.
Radiation therapy: is the use of high-energy beams aimed precisely at the tumor to destroy cancer cells, and in some cases, radiotherapy and chemotherapy are combined
What is the cure rate for bladder cancer?
The cure rate of bladder cancer increases in the case of early detection of the tumor and the speed of consulting a doctor to receive the appropriate treatment before the progression of the case.
Bladder cancer prevention:
There is no specific way to prevent bladder cancer; But the infection can be reduced by quitting smoking, taking caution while dealing with harmful chemicals and adhering to safety guidelines, as well as eating healthy food and eating fruits and vegetables of all kinds. One of the important habits that must be followed and taken care of is the intake of large quantities of fluids and water because of its benefits to the device Urinary and toxins out of the body.
Urinary system tumors, like other tumors, need a highly qualified doctor to confront this malignant disease, so the patient must look for the right doctor or the best urologist in Egypt, who can achieve with him the highest levels of recovery, not only the doctor, but also the place that takes place It has surgery if necessary. Dr. Mohamed Metwally Sadek Center is one of the best medical centers specialized in treating bladder tumors by laparoscopy or traditional surgeries. Also, Dr. Mohamed Metwally Sadek is considered one of the best urologists in Egypt