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A bladder tumor may or may not be cancerous.
Bladder tumors are found in many ways – sometimes on an evaluation for blood in the urine, sometimes on imaging that was not intending to evaluate the bladder but found a bladder tumor incidentally, sometimes during a look in the bladder for a reason other than looking for cancer.
- Evaluation of a bladder tumor involves a cystoscopy (camera look into the bladder) (Link to Cysto page)
- A cystoscopy (camera look into the bladder) is done in the office after numbing the urethra with lidocaine jelly and can be done with or without nitrous oxide (laughing gas) as well.
- Bladder tumors need to be removed or they will get bigger, can cause significant blood in the urine, many times are cancerous and need to be removed to prevent spread of the cancer outside of the bladder.
- Removal of the bladder tumor can sometimes be done in the office if the bladder tumor is small.If the tumor is too large for removal in the office, then removal is done in the operating room with a procedure called transurethral resection of bladder tumor (TURBT).
- Removal of a bladder tumor in the office can be done with nitrous oxide (laughing gas).
- Bladder tumor removal is most often an outpatient surgery, meaning the patient goes home the same day.
- In order to determine the next steps after bladder tumor removal, we need to know if the tumor is cancer and if it is cancer, how deep is it growing into the bladder wall. This will be information given by the pathologist after the tumor is removed.
- After the pathology is reported, providers at Modern Urology will then make recommendations on the next steps, which may be repeated cystoscopy, bladder chemotherapy, or even more advanced surgeries that include removal of the bladder.
The National Comprehensive Cancer Network (NCCN) guidelines (www.nccn.org) and American Urological Association (AUA) guidelines help guide treatment options.
Kidney cancer is often incidentally found on an imaging study that was not intended to look for kidney cancer.
Kidney cancer can be found during an evaluation for blood in the urine.
Rarely does kidney cancer cause pain.
Depending on the size and location of the kidney cancer, treatment options can include ablative treatment by an interventional radiologist physician or with removal of part (partial nephrectomy) or entire kidney (total nephrectomy).
Testicular cancer is detected with a testicle exam noting a lump or bump on the testicle. This lump or bump is typically not painful.
Monthly self exams of the testicles are important to do and can be done while in the shower.
If you note a lump or bump you are concerned about, please make an appointment for an exam with Dr. Fronczak.