Recent advances in the management of bladder cancer

Jayanth Reddy

Pdf Page Numbers :- 128-130

Jayanth Reddy^1,*

¹ Department of Urology, Krishna Institute of Medical sciences, Minister Road, Secunderabad - 500003, AP, India

*Corresponding author: Dr. Jayanth Reddy, Department of Urology, Krishna Institute of Medical sciences, Minister Road, Secunderabad - 500003, AP, India. Email: vjr_103@yahoo.co.in

Received 14 February 2014; Revised 15 March 2014; Accepted 22 March 2014

Citation: Jayanth Reddy. Recent advances in the management of bladder cancer. J Med Sci Res 2014; 2(2):128-130. DOI: http://dx.doi.org/10.17727/JMSR.2014/2-023  

Copyright: © 2014 Jayanth Reddy. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Bladder cancer is the commonest malignancy of the urinary tract. Various alternatives have been investigated, either to reduce the frequency of cystoscopy, or improve its sensitivity for detection of tumors. These include urine-based markers, Narrow-band imaging and photodynamic diagnosis/blue-light cystoscopy. Recent developments in post-resection intravesical regimens for non-muscle-invasive bladder cancer are discussed. For patients with muscle-invasive bladder cancer, both laparoscopic radical cystectomy and robot-assisted radical cystectomy have been shown to reduce peri-operative morbidity, while being oncologically equivalent to open radical cystectomy. Bladder-preserving strategies entail resection and chemoradiation, and in selected patients give equivalent results to surgery. These newer approaches are also discussed

Keywords: bladder cancer; urine-based markers; Narrow-band imaging; photodynamic diagnosis