Dr(Brig.) Sanjay Kumar Gupta
(Ex. RR Hospital)
MBBS, MS, DNB(General Surgery), DNB(Urology)
Senior Consultant Urology
All Heal Gastro-Liver & Multispeciality Clinic
House No- 814, opposite Huda Market, Sector 31, Gurgaon
Veriezon Multispeciality Hospital
Plot No 164 P & 165 P,  Sector 52, Ardee City, Gurugram
Miracles Apollo Cradle Hospital
SCO 1, 2 & 3, Near Vishal Mega Mart, Sector 14, Gurgaon
Shivam Hospital
NH-1, Jal Vayu Vihar, Sector 30, Gurgaon
Mobile- 09717615868
BLADDER TUMOR
Causes
1. Up to 80% of bladder cancer cases are associated with environmental exposure. Tobacco use is by far the most common cause of bladder cancer. Smoking duration and intensity are directly related to increased risk.
The risk of developing bladder carcinoma is 2-6 times greater in smokers than in nonsmokers.
2. Numerous occupations associated with diesel exhaust, petroleum products, and solvents (eg, auto work, truck driving, plumbing, leather and apparel work, rubber and metal work) have also been associated with an increased risk of bladder cancer.
In addition, increased bladder carcinoma risk has been reported in persons, including the following, who work with organic chemicals and dyes:
· Beauticians
· Dry cleaners
· Painters
· Paper production workers
· Rope-and-twine industry workers
· Dental workers
· Physicians
· Barbers
Signs and symptoms
Clinical manifestations of bladder cancer are as follows:
· 1.Blood in urine, without pain - Approximately 80-90% of patient·
2.Irritative bladder symptoms eg, burning in urine, urgency, frequency of urination in 20 to 30% patients.
Common ways to diagnose:
1. Ultrasound of the abdomen including the Bladder/Kidney region ( commonly called the USG KUBP). This may show the cancer growth in bladder.
2. Urine test for cancer cells and presence of blood.
3. other tests for confirmation and extent/spread of growth are CT Scan with contrast. Occasionally MRI may be needed.
This will help in diagnosis and staging of the disease
Treatment: Depends on extent of the disease and its stage which is arrived at after basic and detailed tests.
Treatment Methods:
1. Endoscopic Removal of tumor: If confined only to the innermost lining (Mucosa) of the urinary bladder.
2. Surgical Removal of whole bladder if tumor has spread to urinary bladder muscle ( beyond the mucosa)
3. Radiotherapy +/- Chemotherapy if the tumor has spread beyond the urinary bladder.

