Bladder Cancer Treatment in india
Bladder cancer is the rapid, uncontrolled, and abnormal growth of the cells of the walls of the urinary bladder. It stands in ninth place among the other types of cancers in the world. Bladder cancer can be either non-invasive (i.e. restricted to only the inner lining of the bladder) or invasive (i.e. which spreads to the inner walls of the bladder) or advanced bladder cancer (which has spread to the other body parts).
About Bladder Cancer Treatment
Urinary bladder is a muscular pear shaped organ that helps store urine inside your body. This organ is as susceptible to cancer as any other organ of the body. Urinary bladder cancer if detected early can be treated and in few surgical cases doctors also remove the bladder along with other adjoining organs because sometimes there is a chance for the cancer to spread to ureters and kidneys, if it is of malignant nature. Modern techniques and recent advances in medical sciences have been successful at treating several types of cancer and patients have been living healthy life after the treatment.
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Bladder Cancer Stages
Stage 0: Earliest stage in which cancer occurs in the tissues of the inner lining of the bladder. This is a non-invasive stage where cancer has not invaded the bladder muscles or lymph nodes and other organs yet. This stage is further categorized into:
Stage 0-a: This stage of cancer is known as non-invasive papillary carcinoma. Cancer grows like a small mushroom from the inner lining towards the hollow center of the bladder.
Stage 0-b: At this stage, cancer appears as flat growing on the inner lining of the bladder only and has not grown towards the center hollow part of the bladder, and is known as carcinoma in situ (CIS).
Stage 1: This stage is marked by the spread of cancer to the connective tissue close to the lining of the bladder.
Stage 2: Cancer has spread through the inner or outer layer of bladder muscles, but has not reached the layer of fatty tissues surrounding the bladder.
Stage 3: At this stage, cancer has grown completely through the connective tissues and into the layer of fatty tissue surrounding the bladder.
It might also have spread to the reproductive organs including the vagina, prostate, seminal vesicles or uterus.
Stage 4: This is the advanced stage where cancer has spread to the lymph nodes and other organs such as lungs, liver or bones.
Bladder Cancer symptoms
Blood in the urine (hematuria):this is the most common symptom and usually the first warning sign of cancer. It is generally painless and urine may appear light pink, brown or red (rarely) depending on the amount of blood in the urine. The blood is at times not noticeable and urine may seem to be clear but small amounts of blood may be found in urinalysis (urine test). The blood may also disappear for weeks after the initial sighting.
Changes in urinary pattern: Frequent urination (more than usual), burning sensation or irritation while urinating, sudden urges to urinate even when the bladder is not full.These are the symptoms for early stages of bladder cancer and may overlap with symptoms for other conditions like urinary tract infection, bladder stones, and kidney stones, or enlarged prostate in men. However, one must visit the doctor for a check-up in any case.
Symptoms of Advanced stages:
- Pelvic pain
- Being unable to urinate
- Swelling in the feet
- Bone pain
- Unintentional weight loss
Your doctor asks about your symptoms, family history, medical history, and if you have been exposed to specific chemicals, to get an initial clue regarding the condition.
A urine sample is collected to test for the presence of blood, abnormal cells or bacteria. Physical examination of your rectum and vagina are performed to check for the presence of lumps of bladder cancer that press the organs. Further tests, as mentioned below will be performed if bladder cancer is suspected:
- Cystoscopy
- CT scan and MRI
- Urogram
Treatment Options for Bladder Cancer in India
Several treatment options are available for bladder cancer in India depending on the stage, and other factors like the patient’s health and preference.
Surgery
It involves the removal of cancer and surrounding tissues during operation. There are different types of surgery available depending on the stage and extent of cancer. Surgery options for bladder cancer include:
Trans-Urethral Bladder Tumor Resection (TURBT):
This procedure is used for diagnosing as well as treatment. During this surgery, a cystoscope (a narrow tube with a light and camera) is inserted through the urethra into the bladder. A small wire loop is attached to the end of the cystoscope and is used to remove the abnormal tissues or burn the tumor with laser or high-energy electricity (fulgation). For TURBT, the patient is put under local anesthesia. This is the most common treatment option for early-stage non-muscle invasive bladder cancer.
Cystectomy:
Removal of all or part of the bladder. This is performed when the cancer is invasive. It is of the following types:
Radical cystectomy: This surgery involves the removal of the entire bladder and nearby lymph nodes. This procedure is done when the cancer is large and has invaded the muscle wall. In men, the prostate and seminal vesicles are the nearby organs that are removed during this procedure. While in women, the organs that are removed are a uterus, fallopian tubes, ovaries and part of the vagina. The surgeon then creates another way for the passage of urine from the body.
Partial cystectomy: Also known as segmental cystectomy. Only a part of the bladder is removed along with the portion of the muscle layer that cancer has invaded. The main advantage of this surgery is that the patient gets to keep the bladder and can urinate normally after recovering from the operation.
Laparoscopic cystectomy may be chosen by the surgeon, in which case, a small incision is made instead of a large one, and a tiny camera attached to one end of the instrument is used to see inside the pelvis. This is a minimally invasive surgery to remove the bladder and is performed by a surgeon who is experienced in this kind of operation.
Urinary Diversion: Reconstructive surgery to create an alternative way to store and pass urine. Several types of surgeries can be performed depending on the medical situation and the patient’s preference. The three types are:
Incontinent Diversion: For this, the surgeon removes a part of the intestine and connects it to the ureters to create a passageway for urine to pass from the body. So, the urine flows through this passageway from the kidneys to the outside of the body from an opening, called a stoma, in the skin in front of the abdomen. The urine comes out continuously in small amounts and gets collected in a small bag placed over the stoma. In this procedure, there is no control over the flow of urine.
Continent Diversion: In this approach, part of the small or large intestine is used to make a pouch that acts as a urinary reservoir inside the body and one end of the pouch is attached to the stoma. A valve is created in the pouch which allows urine to be stored. This method is preferred by the patient as there is no need for a bag outside the body. Urine can be drained out by putting a catheter into the stoma.
Neobladder:This is a newer method, in which the surgeon creates a new bladder (neobladder) from the piece of intestine and is attached to the urethra. This method routes the urine back into the urethra, thereby restoring urination. So the patient can pass out the urine normally.
Chemotherapy:This therapy involves the use of drugs to destroy cancer cells by stopping their ability to divide and grow. The therapy can be done with one anticancer drug or a combination of different drugs at the same time (combination drug). Chemotherapy for bladder cancer is of two types:
Intravesical chemotherapy:This treatment is for the early stages of cancer and the chemo drug is administered directly into the bladder.
Systemic chemotherapy: For this treatment, the drugs are given as a pill or injected into the vein, or muscle, through which it enters into the bloodstream and spreads throughout the body.
Radiation Therapy:This involves the use of high-energy x-rays to kill cancer cells and stop them from growing. There are two types of radiotherapy:
External-beam radiation: This is the most common type of radiation therapy, in which the machine outside the body is used to direct radiation precisely towards cancer.
Internal-beam radiation/Brachytherapy: This therapy uses radioactive implants like needles, seeds, or catheters that can be placed near or directly into cancer.
Radiation therapy, alone, or in combination with chemotherapy, is usually used after surgery (TURBT) to destroy any remaining cancer cells or as part of preliminary treatment for advanced-stage cancer or to relieve symptoms caused by advanced bladder cancer like pain and bleeding.
Immunotherapy:Also known as Biological therapy. This therapy involves the use of medicine to boost a person’s immune system to help it recognize and fight against cancer cells. It involves the use of substances produced by the body or in a laboratory to improve or target the immune system or restore function.
BCG vaccine is one of the examples of biological agents used in immunotherapy after the TURBT procedure. Other drugs that are used are Atezolizumab, avelumab, nivolumab, etc. The drugs used are given as intravenous (IV) infusions, every 2 to 3 weeks.
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BLK-Max Hospital
Number of beds: 700
ICU Beds: 175
Airport Distance: 13 Km
Brief About:
- BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.
Indraprastha Apollo Hospital
No. of beds: 900
ICU Beds: 262
Airport: 20kms
About Hospital:
- Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
- The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
- A team of highly trained medical professionals work under all the 52 specialities at the hospital.
Max Hospital Saket
Number of beds: 500
ICU Beds: 267
Airport Distance: 13 KM
Brief About:
- Max Super Speciality Hospital at Saket is one of the topmost healthcare service
- Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
- With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.
Artemis Hospital Gurgaon
Number of beds: 600
ICU Beds: 185
Airport Distance: 19 Km
Brief About:
- Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
- Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
- Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.
Medanta The Medicity Hospital
Number of beds: 1250
ICU Beds: 300
Airport Distance: 18 KMs
Brief About:
- Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
- Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
- The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.
Fortis Memorial Research Institute
Number of beds: 1000
ICU Beds: 298
Airport Distance: 17 KMs
Brief About:
- Fortis Memorial Research Institute was established in 2001.
- It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
- Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.
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Sanar International Hospital
Number of beds: 130
ICU Beds: 35
Airport Distance: 20 Km
About Hospital:
- Sanar International Hospital was established in 2018.
- Sanar International Hospital founded by Mr. Naresh Kapoor.
- Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.
W Pratiksha Hospital
Number of beds: 110
ICU Beds: 31
Airport Distance: 19 KMs
About Hospital:
- Established in 1995, W Pratiksha Hospital is a 110+ bedded flagship hospital of the Pratiksha group.
- W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 30 years of experience.
- The hospital has treated more than 25,000 people In 2018.
Aakash Health Care Delhi
Number of beds: 230
ICU Beds: 70
Airport Distance: 10 Km
About Hospital:
- Aakash Healthcare Super Speciality Hospital is a tertiary care facility, with 15 Dialysis, and 70 Critical care beds for treating the most complex cases in the National Capital Region (NCR) of Delhi, Dwarka.
- The hospital is equipped with state of the art infrastructure, latest technology, competent clinicians and compassionate staff.
- Aakash Healthcare Super Specialty Hospital is known for its leading care in Orthopaedic and Joint replacement surgery.
Accord Superspeciality Hospital
Number of beds: 380+
ICU Beds: 41
Airport Distance: 46 Km
About Hospital:
- The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
- Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is India’s first smart hospital and one of the first of its kind in the world.
- Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.
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We offers these Services
- Providing a doctor’s opinion and proper quotation
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