Type of Surgery

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Last updated: 11/24/2009

Demographics

Bladder cancer is the sixth most commonly diagnosed malignancy in the United States. According to the American Cancer Society, about 57,400 new cases of bladder cancer will be diagnosed in the United States in 2003.

Industrialized countries such...

as the United States, Canada, France, Denmark, Italy, and Spain have the highest incidence rates for bladder cancer. Rates are lower in England, Scotland, and Eastern Europe. The lowest rates occur in Asia and South America.

Smoking is a major risk factor for bladder cancer; it increases one's risk by two to five times and accounts for approximately 50% of bladder cancers found in men and 30% found in women. If cigarette smokers quit, their risk declines in two to four years. Exposure to a variety of industrial chemicals also increases the risk of developing this disease. Occupational exposures may account for approximately 25% of all urinary bladder cancers.

The incidence of bladder cancer in the white population is almost twice that of the black population, and is more than 2.5 times more likely to be diagnosed in men than women. For other ethnic and racial groups in the United States, the incidence of bladder cancer falls between that of whites and blacks.

There is a greater incidence of bladder cancer with advancing age. Of newly diagnosed cases in both men and women, approximately 80% occur in people aged 60 years and older.



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An enlarged prostate can lead to problems with urination and urinary tract infections. One treatment for an enlarged prostate is a TURP or Transurethral Resection of the Prostate. The video describes a step-by-step process involved in a TURP.

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Other Information

Transurethral bladder resection is a surgical procedure, performed under sedation or anesthesia, with a lighted tube inserted through the urethra (the small tube-like structure that allows urine to empty from the bladder), into the bladder. It plays both a diagnostic and therapeutic role in the treatment of bladder cancers.

For this procedure, a lighted tube (resectoscope) is inserted through the urethra, into the bladder. A clear solution is infused to maintain visibility, and the tumor or tissue to be examined is cut away using an electric current. Tumor and muscle fibers are biopsied (a sample is cut out and examined, usually under a microscope) in order to evaluate the depth of tissue involvement, while avoiding perforation of the bladder wall. Every attempt is made to remove all visible tumor tissue, along with a small border of healthy tissue. The resected tissue is examined under the microscope for diagnostic purposes. An indwelling catheter may be inserted to ensure adequate drainage of the bladder postoperatively. At this time, interstitial radiation therapy may be initiated if necessary.

— Kathleen D. Wright, RN


From http://www.answers.com/topic/transurethral-bladder-resection

Other Information

In 2000, the estimated number of hospital admissions among adults aged 18 or older with urinary incontinence listed as a diagnosis was of 47,802 hospital stays (1,332 men; 46,470 women).


From: NKUDIC

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