What is the best medicine for bladder cancer infusion?

Written by Liu Mei Fen
Medical Oncology
Updated on September 20, 2024
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Bladder perfusion chemotherapy involves infusing chemotherapy drugs directly into the bladder through a catheter to control tumor growth and reduce the recurrence rate after surgery. Generally, the drugs with significant effects on bladder perfusion fall into three categories. The first category is the anthracyclines, including doxorubicin, epirubicin, and pirarubicin. The second category includes platinum-based drugs such as cisplatin, carboplatin, and oxaliplatin. The third category is vinorelbine. According to current big data research, vinorelbine bladder perfusion tends to have a lower recurrence rate. Without postoperative bladder perfusion chemotherapy, 60%-70% of patients will eventually experience recurrence. With bladder perfusion chemotherapy, the recurrence rate can be reduced to 20%-30%.

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Written by Zou De Bo
Urology
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How to prevent bladder cancer

Bladder cancer is one of the most common malignant tumors in the urinary system. Currently, the exact cause of bladder cancer is not clear. In terms of prevention, it is generally necessary to drink more water, urinate more frequently, try not to smoke, and reduce exposure to chemical irritants, such as paint, chemical substances, etc. Additionally, an annual physical examination is recommended to enable early detection and early treatment.

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Written by Zou De Bo
Urology
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Is a bladder tumor the same as bladder cancer?

Not all bladder tumors are bladder cancer, as we all know, all tumors can be benign or malignant. Of course, bladder tumors can also be benign or malignant. Only malignant bladder tumors are considered bladder cancer. If some bladder tumors are benign, they cannot be called bladder cancer. Therefore, no matter how a bladder tumor is diagnosed, whether it is benign or malignant, it should be treated as soon as possible.

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Written by Wang Jian
Urology
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Treatment of bladder cancer

For the treatment of bladder cancer, it is necessary first to confirm the diagnosis of bladder cancer through routine urine tests, ultrasonographic examination of the urinary system, cystoscopy, and imaging studies of the urinary system. It is important to determine the location, area, and malignancy of the bladder tumor. For early-stage superficial bladder tumors or tumors on the bladder wall with fewer numbers, minimally invasive surgery can be performed, followed by bladder perfusion to prevent recurrence of the bladder tumor. In the second scenario, if the bladder tumor is multiple and larger, and has a higher degree of malignancy in the bladder trigone area, then a radical cystectomy is required. Radical cystectomy involves the removal of the bladder along with the prostate in males or the uterus in females, followed by the creation of a urinary diversion, typically through these two treatment methods.

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Written by Wang Jian
Urology
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Is bladder cancer hereditary?

Bladder cancer is the most common malignant tumor in urology, occurring on the mucosa of the bladder and is also one of the top ten common tumors globally. The etiology of bladder cancer is complex, involving both intrinsic genetic factors and external environmental factors, which gives bladder cancer a hereditary tendency. Notable among the major risk factors are smoking and occupational exposure to aromatic amines, with 30% to 50% of bladder cancers caused by smoking. The incidence of bladder cancer significantly increases with the duration of smoking. The initial clinical manifestation of bladder cancer is usually hematuria, typically painless and intermittent gross hematuria. The presence of blood in urine should prompt further diagnostic testing to rule out malignant tumors in the bladder.

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Written by Wang Shuai
Urology
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Could light bloody water on the paper after urinating be bladder cancer?

Firstly, it is not possible to determine the presence of bladder cancer in this way. If, after urinating, there is blood-tinged fluid when wiping the urinary opening with tissue, this may be considered hematuria. There are many causes of hematuria, such as urinary tract infections, or swelling, congestion, and erosion at the urinary opening, as well as kidney stones, all of which can lead to blood in the urine. Of course, tumors in the urinary system can also cause blood in the urine, but tumor-induced hematuria is often painless, and the color of the blood tends to be concentrated, making the urine appear red or like washed meat water. In such cases, it is important to promptly visit a hospital for routine urinalysis, ultrasonography, and even CT scans or cystoscopy to determine if it is bladder cancer.