Bladder tumors
The assessment of local cancer spread is of utmost importance in the treatment of bladder cancer. The distinction between limited infiltration of superficial bladder wall layers or the muscular layer determines further disease management und prognosis. For local therapy, histological tissue procurement and assessment of invasiveness, the tumor is removed endoscopically during a bladder examination with an electric loop. Since bladder carcinomas often occur in several locations at the same time, it is important to obtain an accurate diagnosis at the beginning. In order to improve the detection of smaller Tumors, we use a specific method named photodynamic diagnosis (PDD). This technique makes it easier to completely remove all suspicious areas with the endoscope. Depending on the aggressiveness of the tumor, which is defined by tumor size and histological findings, a second tumor resection might be necessary.
In order to design a plan for patients diagnosed with bladder cancer, you can present yourself in our bladder tumor consultation hours (link) or in the consultation hours for self-paying patients and privately insured patients (link).
If a bladder tumor has affected the deep wall layers of the bladder wall, minimally invasive resection through the urethra is no longer sufficient. In these cases, complete radical removal of the urinary bladder is the gold standard. The extent the operation depends on several tumor characteristics. The removal of the urinary bladder is carried out in our institution at a very high volume.
After removal of the urinary bladder, urinary diversion is necessary. We offer a broad spectrum of techniques at our institution. We will discuss suitable options with you in a detailed discussion (link).
You are welcome to request a detailed patient guide on the subject of urinary diversion as part of our study - Prospective evaluation of the knowledge gained through the brochure "Patient guide to urinary diversion before a planned cystectomy" (Patientenratgeber Harnableitung" vor geplanter Zystektomie)- from the following contact:
Mandy Ehrt
+49 351 458-2447
email: urologie
In case of extensive distant metastases, curative therapy is not possible. However, with the use of modern systematic therapies cancer control can be achieved in the long term. This ensures stabilization of the tumor disease and preservation of quality of life (link).
Since bladder carcinoma with distant metastases is a very complex clinical picture, patient cases are presented in our tumor boards and the best possible therapy is discussed in a panel of experts. Here, a multidisciplinary individual approach for either patient (link) is used to make an optimized individual therapy recommendation.
In addition, it is important to us to give those affected the opportunity to be included in novel innovative clinical trials (Link).