Bladder cancer is when there is a growth of abnormal tissue, called tumor, that develops in the bladder lining. The most common symptom is blood in the urine which usually occurs painless. The tumor can spread, in some cases, into the surrounding muscles. Bladder cancer is a malignant cancer type. It affects older men three times more often than women.
Bladder cancer constitutes 2% of all malignant diseases. Men are about 3 times more likely than women to develop it. The average age of those with the disease is between 65 and 70. Frequent contact with various chemical substances, smoking, frequent urinary tract infections, as well as radiation therapy can favour the development of bladder cancer. Bladder cancer generally originates in the cells lining the bladder (ureothelial carcinoma, also called transitional cell carcinoma). It may have a single point of origin (unifocal), but usually there are several foci (multifocal). There are multiple degrees of severity of bladder cancer depending on how advanced tumor growth is, which structures in the bladder wall are affected, and even if other surrounding organs are affected. Treatment depends on the severity of the cancer.
Patients usually end up visiting a doctor when they notice blood in their urine (macrohematuria) without the presence of any pain. Besides blood in urine, other symptoms during urination can occur. Advanced stages may present with flank pains, which are due to the poor transportation of urine from the kidneys into the bladder. In about 20% of cases there are no symptoms accompanying bladder cancer. Routine urine analysis can find a microscopic amount of blood in the urine (microhematuria) and signs of white blood cells in the urine.
If the symptoms listed above appear, then an ultrasound should be done to eliminate the possibility of other diseases. Next, an endoscopy of the bladder is performed, which allows a view of the bladder’s surface. Abnormalities around the bladder can then be cleared or samples can be taken. Sometimes it’s possible to obtain cells to determine if the type of cancer. This is done with repeated flushing of the bladder via a urinary catheter. To determine whether it’s a case of micro- or macrohematuria, a urogram is conducted. With consideration to the findings and the general condition of the patient, the patient and doctor can discuss proper treatment. The following options for treatment are available: complete removal of the tumor via cystoscopy, local chemotherapy (direct to the bladder), BCG immunotherapy, partial or complete removal of the bladder and surrounding lymph nodes via operation (with different methods for allowing urine to drain), radiation therapy, and chemotherapy (in combination). The decision must be made on an individual basis for each patient. Discussing options with your doctor is highly recommended.
Several years of work in academia, medical practice and finally commercialization make it possible to provide an end-to-end process to help users to “find the appropriate medical help based on their present symptoms”. Below you will find a short explanation, showing you which part of the platform will help you best in finding the appropriate medical support.
Proceed as follows to enter your current symptoms.
Click on the appropriate body part on the picture. Select one/multiple symptoms corresponding to your complaint.
You can also add symptoms by typing your medical complaint in the search box and selecting the best matching suggestion.
Note: Your information will be kept anonymously.
Once you have selected all applicable symptoms, click the “analyze disease pattern”-button.
Accordingly, you will get a list of possible diseases and matching doctor categories who can further help you.
You can inform yourself about the possible diseases by reading the related information. But you can also return to the previous step and add more symptoms or delete already added ones to further narrow down your disease pattern.
Click on the desired doctor category to find a doctor who can help you.
If you are logged in with your profile, you will be displayed the appropriate doctors in your area. Otherwise you can enter an address in the “address” field and you will be displayed a doctor’s list around that specified address.
You will receive further information about the displayed doctors when you press on “details”.
Online bookable doctors in your area will be indicated with the notation “Book appointment” or “Book externally”, additionally they will be displayed on top of the list for your convenience.
Click on “Book appointment” to start the online appointment booking process with the desired doctor.
Please select an available appointment. “Green“ appointments are booked directly. “Red“ appointments need to be confirmed by the doctor.
Enter your general personal and health information.
Enter your present medical symptoms.
Enter your mobile phone number to identify yourself and you can finalize the appointment booking.
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