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There are four types of treatment for bladder cancer are:

Surgery involves removing, from surgery, cancer of the bladder. You can use several methods:

- Transurethral resection: used a cystoscope inserted into the bladder through the urethra. In the end will incorporate a system to cut the tumor and remove it. It can also lead a system with high-energy electricity to burn the cancer. Can be applied to tumors that are not too large or deep and are not scattered in several pockets on the inside of the bladder. Its great advantage is that it keeps the bladder and urine may follow naturally. - Segmental cystectomy: is removed from the bladder where the cancer. It is used when the


cancer is confined to one area of the bladder, although not a very common type of surgery.

- Radical cystectomy: bladder is removed and the tissue around it. In women removes the uterus, ovaries, fallopian tubes, part of the vagina and urethra. In men, the prostate and the glands that produce fluids that comprise semen and sometimes also the urethra is removed. The pelvic lymph nodes may also be removed. When the bladder is removed you have to reconstruct the flow of urine somehow. The simplest and most common approach is to derive the ureters (the tubes that lead from the kidneys to the bladder) or urostomy a hole in the wall of the abdomen. Some manan urostomy urine continuously, so it is necessary to carry a special bag to collect it. In other cases, the continent urostomy is, which means that holds the urine and the patient must learn to probe the hole several times a day to remove it. In other cases, the urologist is to manufacture a new bladder or neobladder using part of the intestine. This helps prevent the urostomy and is still urinating by the natural route. However, the operation of the neobladder is never as perfect as the original bladder.

Radiation therapy: Radiation uses high energy X to destroy cancer cells. It uses a device called a linear accelerator that sends rays to the affected area only. You can use materials that produce radiation through thin plastic tubes into the area where cancer cells are found. Sometimes used as a substitute for surgery to cure cancer without removing the viscera, in others it is an adjunct to surgery to decrease the chance of relapse, and finally, radiation therapy can be used as palliative therapy to improve symptoms incurable cases

Chemotherapy is the use of drugs to destroy cancer cells. These drugs are administered intravenously as a drip. Chemotherapy may be used after surgery to try to remove debris that may have been microscopic and thereby lower the likelihood of relapse.

Intravesical therapy: use low doses of chemotherapy or other biological products that are introduced inside the bladder through a tube. These instillations are repeated several times after transurethral resection to avoid relapse.

FORECASTS Over 70% of superficial tumors tend to local recurrence in the first five years. There are only 20% of those arising to an invasive cancer.

The prognosis depends on the stage being worse in those tumors where there is lymph node and distant metastases. The survival rate at five years, in these cases ranges from 10-20%.

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