In general, bladder cancer is considered non-muscle invasive or muscle-invasive:
Non-muscle invasive bladder cancer: The majority of bladder cancers, or 75 percent, are non-muscle invasive. These bladder cancers are highly treatable, have not spread and are in the early stages of the disease. Non-muscle invasive bladder cancer is generally managed through minimally invasive surgical techniques or surgery in combination with chemotherapy or other infusion and therapeutic options.
Treatment Options for Non-Muscle Invasive Bladder Cancer
- Surgical- Transurethral resection of bladder tumor (TURBT) is the primary surgical approach for treating non-muscle invasive bladder cancers.
- Infusion Therapies- Chemotherapy and Immunotherapy
- Radiation Therapy- Penn Radiation Oncology Doylestown is an outpatient radiation treatment program located in The Pavilion at Doylestown Hospital, on the hospital's main campus. As a Penn Radiation Oncology satellite location, we are equipped with the most advanced technology
- Neoadjuvant Therapy- Given before the main type of treatment to increase the likelihood of successful response or to shrink the tumor
- Adjuvant Therapy- Given after the main type of treatment to lower the risk that cancer will return, or to increase the likelihood of cure
Muscle-invasive bladder cancer: Approximately 25 percent of bladder cancers are muscle-invasive, meaning the cancer has spread beyond the bladder walls to muscles, lymph nodes or other organs. This type of bladder cancer usually requires advanced surgery. If you have this form of bladder cancer, you may need your bladder partially removed or entirely removed, followed by reconstructive surgery, to create a urinary diversion. Our goal is to identify the treatment option with the highest likelihood of success, taking into account your quality of life and avoiding damage to other organs.
Treatment Options for Muscle-Invasive Bladder Cancer
- Partial cystectomy: An option for a small percentage of people when cancer has invaded the muscle but is small and confined to one place in the bladder.
- Radical cystectomy: A major surgery that removes the entire bladder and surrounding lymph nodes. In addition, the prostate and seminal vesicles are removed in men and the uterus, ovaries, fallopian tubes and part of the vagina are removed in women.
- Urinary diversion: After radical cystectomy, our surgical team creates a new route for urine to exit the body. All options are available to you at Doylestown Health and include:
- Ileal conduit
- Cutaneous continent urinary diversion
- Continent neobladder: Urine is routed back into the urethra to create a urinary reservoir made of part of the intestine. A neobladder is sewn into the urethra and lets you urinate normally.