Understanding Bladder Reconstruction Surgery After Cancer Diagnosis
Bladder reconstruction surgery Hello Doctor, my mother is 77 years old and has been on dialysis for nearly twenty years, with no urine output. Recently, she was diagnosed with bladder cancer due to hematuria and has not yet undergone surgery. The stage of the cancer is currently ...
Dr. Li Minghui Reply:
Hello, ladies. 1. For patients with bladder tumors undergoing radical cystectomy who are also on dialysis due to renal failure, it is theoretically advisable to remove both kidneys to prevent future recurrence of the tumor in the kidneys and ureters. Additionally, reconstruction ...[Read More] Understanding Bladder Reconstruction Surgery After Cancer Diagnosis
Understanding Bladder Cancer Diagnosis and Reconstruction Options
Diagnosed with bladder cancer? Hello doctor, my mother is 77 years old and has been on dialysis for nearly twenty years, with no urine output. Recently, she was diagnosed with bladder cancer due to hematuria and has not yet undergone surgery. The stage of the cancer is currently ...
Dr. Du Shixi Reply:
Hello: Most likely, if someone has been on dialysis for many years, they may not be able to tolerate bladder reconstruction. If there is still a small amount of urine produced daily, and if bladder removal is necessary, some may have the ureters connected to the abdominal wall to...[Read More] Understanding Bladder Cancer Diagnosis and Reconstruction Options
Post-Surgery Treatment Options for Bladder Cancer: What to Consider
Postoperative care Hello Dr. Du, I have undergone a complete cystectomy for bladder cancer, and during my follow-up visit, the doctor suggested that immunotherapy would be a safer option. However, the cost is as high as 2 million NTD, and it's not a one-time treatment, which...
Dr. Du Shixi Reply:
Hello: After surgery, the hospital usually informs you of the stage of the disease, which helps to understand the approximate survival rate associated with that stage of treatment. You can discuss this with your physician. Currently, the use of immunotherapy statistically can ext...[Read More] Post-Surgery Treatment Options for Bladder Cancer: What to Consider
Understanding Blood in Urine: Causes, Risks, and Duration
The issue of hematuria? 1. The sudden occurrence of hematuria (bright red) led me to visit a clinic for an X-ray and ultrasound, where a stone (0.4 cm) was detected in a higher position. I would like to know if this could cause hematuria? 2. Is there a possibility of bladder canc...
Dr. Li Xinyi Reply:
There are many causes of hematuria, but the primary concern is the possibility of bladder cancer. This requires repeated treatment and follow-up examinations, and the treatment plan will be arranged based on the results of these follow-ups. If the doctor strongly suspects the pos...[Read More] Understanding Blood in Urine: Causes, Risks, and Duration
Understanding the Progression Speed of Bladder Cancer: Key Insights
The progression rate of bladder cancer? Dear Dr. Sun: I would like to inquire about the progression speed of bladder cancer from the initial discovery of painless hematuria to stage IV bladder cancer (from bladder neck metastasis to the prostate). What is the fastest time frame f...
Dr. Sun Hongshun Reply:
Hello Eric: Regarding cancer progression, the scientific and medical communities still cannot provide any definitive conclusions! It is essential to have regular health check-ups or to honestly inform your physician when you notice any abnormalities in your body (don’t be afraid ...[Read More] Understanding the Progression Speed of Bladder Cancer: Key Insights
Understanding Bladder Cancer Causes and Early Detection Strategies
Causes of bladder cancer? Dear Dr. Lee, 1. Reports indicate that the majority of bladder cancer cases are linked to smoking. I have no history of smoking and have had minimal exposure to secondhand smoke, as I am an office worker. Why might I still develop this condition? Could ...
Dr. Li Xinyi Reply:
Bladder cancer is indeed associated with smoking, but it is also linked to exposure to certain toxins and unknown herbal substances, as well as genetic factors. It is not possible to predict who will or will not develop bladder cancer. Are you asking me if there was a medical err...[Read More] Understanding Bladder Cancer Causes and Early Detection Strategies
Understanding Prostate Enlargement: Symptoms and Early Detection of Bladder Cancer
Benign Prostatic Hyperplasia (BPH) Dear Director Li: Regarding the causes and symptoms of prostate enlargement, are they not very similar to the symptoms of bladder cancer? Both can present with hematuria, urgency, frequency, and a feeling of incomplete bladder emptying. I person...
Dr. Li Minghui Reply:
Hello: It is best to use cystoscopy for examination to gain understanding. Wishing you good health.[Read More] Understanding Prostate Enlargement: Symptoms and Early Detection of Bladder Cancer
Understanding Enlarged Prostate: Symptoms and Early Detection of Bladder Cancer
Benign prostatic hyperplasia (BPH) Dear Doctor: Are the causes and symptoms of prostate enlargement very similar to those of bladder cancer? Both can present with hematuria, urgency, frequency, and a sensation of incomplete bladder emptying. I have experienced painless hematuria,...
Dr. Du Shixi Reply:
Hello: It is best to use cystoscopy for examination to gain understanding. Wishing you good health.[Read More] Understanding Enlarged Prostate: Symptoms and Early Detection of Bladder Cancer
Timeline from Painless Hematuria to Stage III Bladder Cancer Diagnosis
The progression speed of bladder cancer? How long does it typically take for a patient to progress from asymptomatic hematuria (with no abnormalities found during examinations) to a confirmed diagnosis of stage III bladder cancer?
Dr. Du Shixi Reply:
Hello: Individuals vary, and if a physician's examination is normal, it often takes a long time, usually several years, before stage 3 is truly discovered, often due to a prolonged period without follow-up. Wishing you good health.[Read More] Timeline from Painless Hematuria to Stage III Bladder Cancer Diagnosis
Understanding Reactions to Mitomycin Bladder Cancer Treatment: Key Questions
Regarding the reactions after intravesical instillation of Mitomycin for bladder cancer? Hello, Doctor. I have been diagnosed with renal pelvis cancer for 5 years, and my follow-ups have shown no issues during this time. However, during my most recent endoscopic examination, a tu...
Dr. Jian Weihong Reply:
Hello: 1. The biopsy of the bladder tumor confirmed renal cell carcinoma. Does this situation count as metastasis, or is it another condition? -- Since it is renal cell carcinoma, it should be classified as metastasis, but it has been surgically excised. 2. After the resection...[Read More] Understanding Reactions to Mitomycin Bladder Cancer Treatment: Key Questions
Understanding Renal Pelvic Cancer: Questions on Diagnosis and Treatment
Renal pelvis cancer? Hello, Doctor. I have been diagnosed with renal pelvis cancer for five years, and my follow-ups have shown no issues during this time. However, during my most recent endoscopic examination, a tumor was discovered in my bladder. It is an early-stage tumor, and...
Dr. Du Shixi Reply:
Hello: 1. The biopsy of the bladder tumor confirmed renal cell carcinoma. Does this situation count as metastasis, or is it another condition? -- Since it is renal cell carcinoma, it should be classified as metastasis, but it has been surgically excised. 2. After the excision,...[Read More] Understanding Renal Pelvic Cancer: Questions on Diagnosis and Treatment
Understanding Asymptomatic Microscopic Hematuria: Causes and Concerns
Asymptomatic microscopic hematuria Hello, doctor. I do not smoke or drink alcohol. During my health check this year, I found abnormalities in my urine test, including red blood cells, white blood cells, epithelial cells, urine casts, and leukocyte esterase, while other results we...
Dr. Du Shixi Reply:
Hello: 1. Is my risk of bladder cancer high? --> Not very high. 2. Can urinary tract infections be asymptomatic? --> Yes, it is possible. 3. Can vaginitis and cervical erosion cause microscopic hematuria? --> If the urine specimen is collected correctly, this shoul...[Read More] Understanding Asymptomatic Microscopic Hematuria: Causes and Concerns
Managing Ureteral Tumors in Elderly Patients with Bladder Cancer
Ureteral tumor resection Hello Doctor: My mother has stage II bladder cancer along with ureteral cancer. After undergoing endoscopic laser surgery and radiation therapy, the doctor mentioned that there is still a segment of the ureteral tumor that has not been removed. She is sch...
Dr. Li Xinyi Reply:
Based on your description, it seems that you are referring to an endoscopic laser tumor vaporization procedure, rather than a resection followed by suturing. Endoscopic surgery is generally considered to be safer than traditional open surgery. It is important to discuss the detai...[Read More] Managing Ureteral Tumors in Elderly Patients with Bladder Cancer
Understanding Persistent Hematuria: When to Seek Further Evaluation
Long-term hematuria concerns? Hello Doctor, I am 23 years old. About 5-6 years ago, I started having issues with (urinary occult blood) during my annual health check-ups, and I always schedule them to avoid my menstrual period. The color of my urine appears normal, and I do not n...
Dr. Du Shixi Reply:
Hello: If there is visible hematuria, a cystoscopy may be necessary, and it is generally followed up regularly. Wishing you good health.[Read More] Understanding Persistent Hematuria: When to Seek Further Evaluation
Understanding Urinary Stoma Changes: What to Expect After Surgery
Urostomy Hello Doctor: My mother underwent a radical cystectomy for bladder cancer two years ago and chose to have a urinary diversion. She has been cleaning the stoma daily to manage the intestinal output. Recently, we have noticed a significant decrease in the intestinal output...
Dr. Liu Mingyue Reply:
Hello: It is normal. If you are still concerned, you can consult a doctor at the hospital again. Wishing you good health.[Read More] Understanding Urinary Stoma Changes: What to Expect After Surgery
Understanding Changes in Stoma Output After Bladder Removal Surgery
Radical cystectomy Hello Doctor: My mother underwent a radical cystectomy two years ago due to bladder cancer and subsequently chose to have a urinary diversion. She cleans the stoma daily to manage the intestinal secretions. Recently, she has noticed a significant decrease in th...
Dr. Du Shixi Reply:
Hello: It is normal. If you are still concerned, you can consult a doctor at the hospital again. Wishing you good health.[Read More] Understanding Changes in Stoma Output After Bladder Removal Surgery
Understanding Radiation Therapy for Bladder Cancer: Costs and Concerns
Radiation therapy Hello Doctor: My mother is 80 years old and has stage II bladder cancer with a tumor in the ureter. Due to severe lung obstruction, she is unable to undergo surgery and is currently scheduled for radiation therapy. The doctor mentioned that radiation therapy wil...
Dr. Li Minghui Reply:
Hello: You can use health insurance for positioning without having to pay out of pocket. You can discuss with your physician whether there is a method to use positioning only a few times. Out-of-pocket positioning has its benefits. Positioning is necessary for more precise treatm...[Read More] Understanding Radiation Therapy for Bladder Cancer: Costs and Concerns
Understanding Radiation Therapy for Stage II Bladder Cancer and Ureter Tumors
Stage II bladder cancer with ureteral tumor? Hello Doctor: My mother is 80 years old and has stage II bladder cancer with a tumor in the ureter. Due to severe lung obstruction, she is unable to undergo surgery and is currently scheduled for radiation therapy. The doctor mentioned...
Dr. Du Shixi Reply:
Hello: You can use health insurance for positioning without having to pay out of pocket. You can discuss with your physician whether there are options for limited positioning sessions. While out-of-pocket positioning has its benefits, positioning is aimed at achieving more precis...[Read More] Understanding Radiation Therapy for Stage II Bladder Cancer and Ureter Tumors
Bladder Cancer Stage II: Chemotherapy and Radiation Treatment Options
Stage II bladder cancer chemotherapy combined with radiation therapy? Dear Doctor: My mother just underwent a cystoscopy and biopsy, and the doctor informed us that she has a stage II bladder cancer tumor, along with several smaller stage I tumors that were scraped away during th...
Dr. Du Shixi Reply:
Hello: At the beginning of treatment, most health insurance plans provide coverage. If the treatment does not show good results after a certain period, chemotherapy may suggest the use of out-of-pocket medications. You can discuss this with your physician. If it is required to pa...[Read More] Bladder Cancer Stage II: Chemotherapy and Radiation Treatment Options
Bladder Removal: Disability and Handicap Benefits Application Guide
Bladder removal - Application for disability and handicap status? Hello, doctor. Recently, a family member underwent partial cystectomy and nephrectomy due to bladder cancer. After chemotherapy, residual lesions remained, and last month, they had their bladder removed at a hospit...
Dr. Li Xinyi Reply:
Based on the principle of non-duplication of benefits in social insurance, it is perfectly acceptable to choose to apply for one option. Regardless of how many applications you submit, all application materials will be scrutinized transparently, and having submitted an applicatio...[Read More] Bladder Removal: Disability and Handicap Benefits Application Guide