{"id":14,"date":"2018-01-30T20:44:13","date_gmt":"2018-01-30T20:44:13","guid":{"rendered":"https:\/\/www.saintjohnscancer.org\/urology\/conditions\/bladder-cancer\/"},"modified":"2026-04-27T14:08:08","modified_gmt":"2026-04-27T18:08:08","slug":"treatment-for-bladder-cancer","status":"publish","type":"page","link":"https:\/\/www.saintjohnscancer.org\/urology\/conditions\/treatment-for-bladder-cancer\/","title":{"rendered":"Bladder Cancer"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":null,"protected":false},"author":2,"featured_media":0,"parent":10,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"class_list":["post-14","page","type-page","status-publish","hentry"],"acf":{"layers":[{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"","layer_intro":"","layer_content":"<p style=\"padding-top:80px; font-size: 28px;line-height: 32px;letter-spacing: -0.5px;color: #042f72;font-weight: 600\">Bladder cancer is more common than many realize, impacting 1 in 28 men and 1 in 91 women in the U.S. each year. Nearly 80,000 people receive this diagnosis annually, often with a history of smoking. At Providence Saint John\u2019s Cancer Institute, patients aren\u2019t treated in isolation\u2014every case is reviewed by a team of experts across multiple specialties, ensuring care that is thoughtful, coordinated, and personalized.<\/p>\n<h2>What Is Bladder Cancer?<\/h2>\n<p><strong>Most diagnosed with bladder cancer in the United States are over 70 years old.  Men are 3-4 times more likely to present with bladder cancer than women.<\/strong>  <\/p>\n<p><figure id=\"attachment_1579\" aria-describedby=\"caption-attachment-1579\" style=\"width: 710px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/bladder-cancer.jpg\" alt=\"Using cystoscopy to detect bladder cancer - Saint John&#039;s Cancer Institute \" width=\"710\" height=\"286\" class=\"size-full wp-image-1579\" srcset=\"https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/bladder-cancer.jpg 710w, https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/bladder-cancer-300x121.jpg 300w, https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/bladder-cancer-100x40.jpg 100w\" sizes=\"auto, (max-width: 710px) 100vw, 710px\" \/><figcaption id=\"caption-attachment-1579\" class=\"wp-caption-text\">Bladder cancer often forms along the inner wall of the bladder.<\/figcaption><\/figure>There are two kinds of bladder tumors; benign and malignant. Benign tumors are not cancerous and do not invade the surrounding tissue. Once they are treated or removed, they usually do not grow back. Malignant tumors are cancerous growths. Although they can be removed successfully, they can also grow back.<\/p>\n<p>Bladder cancer cells can invade nearby organs, such as the prostate in men or the uterus in women. They can also break away from the tumor and spread through blood vessels to other parts of the body, including the liver, lungs, bones, and lymph nodes. When this happens, cancer has metastasized (spreading that can lead to new tumors in other parts of the body).<\/p>\n<h3>What are the Signs and Symptoms of Bladder Cancer?<\/h3>\n<ul>\n<li>Blood in urine (a rusty color)<\/li>\n<li>Feeling of an urgent need to urinate<\/li>\n<li>Having to urinate more often than you used to<\/li>\n<li>Feeling the need to urinate but with no results<\/li>\n<li>Needing to strain or bear down when you urinate<\/li>\n<li>Feeling pain when you urinate<\/li>\n<\/ul>\n<p>These symptoms may also be caused by another health problem, such as an infection. If you are experiencing symptoms, make arrangements for treatment soon as possible.<\/p>\n<h3>What are the Risk Factors of Bladder Cancers?<\/h3>\n<p>Doctors have identified several risk factors for bladder cancer, which tend to be externally driven:<\/p>\n<ul>\n<li>Smoking is the biggest risk factor: The longer someone smokes, the greater the risk.<\/li>\n<li>Chemicals exposure such as in the workplace (working with dye, rubber, paint, metal, textiles, and leather industries may be at higher risk).\n<li>People with cancer who have been treated with certain drugs, or who have had radiation treatment to the abdomen or pelvis, may be at higher risk.<\/li>\n<li>Caucasians are about twice as likely to develop bladder cancer as African Americans.<\/li>\n<li>Being over the age of 55<\/li>\n<li>Some studies have shown that a diet lacking sufficient amounts of fruits and vegetables can have a negative outcome for bladder cancer.\n<\/ul>\n<figure id=\"attachment_1580\" aria-describedby=\"caption-attachment-1580\" style=\"width: 400px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/drycleaning-chemical-process.jpg\" alt=\"drycleaning-chemical-process\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-1580\" srcset=\"https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/drycleaning-chemical-process.jpg 800w, https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/drycleaning-chemical-process-300x215.jpg 300w, https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/drycleaning-chemical-process-768x550.jpg 768w, https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/drycleaning-chemical-process-100x72.jpg 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption id=\"caption-attachment-1580\" class=\"wp-caption-text\">Certain industries have a greater risk for developing bladder cancer.<\/figcaption><\/figure>\n<h4>Careers with a higher risk of chemical exposure:<\/h4>\n<ul>\n<li>Dry Cleaners<\/li>\n<li>Painters<\/li>\n<li>Autoworkers<\/li>\n<li>Truck drivers<\/li>\n<li>Paper manufacturers<\/li>\n<li>Metal workers<\/li>\n<li>Plumbers<\/li>\n<li>Hairdressers<\/li>\n<li>Tire and rubber workers<\/li>\n<li>Chemical and petroleum workers<\/li>\n<\/ul>\n","layer_is_content_auto_columns":false,"sidebar_position":"right","widgets":false,"layer_icon":"","layer_icon_position":"left","layer_background_color":"bg-none","layer_id":""},{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"","layer_intro":"","layer_content":"<h2>How is Bladder Cancer Diagnosed?<\/h2>\n<p>To reach a diagnosis for bladder cancer, we take a thorough medical history and conduct a physical examination to be as accurate as possible. We will ask questions; make note of any symptoms you may have experienced and include any other pertinent information. <\/p>\n<p><code><\/p>\n<style>\n.container1 {\nposition: relative!important; overflow: hidden!important; width: 80%!important; padding-top: 48%!important; margin-left:10%;\n}\n.responsive-iframe {\nposition: absolute!important; top: 0!important; left: 0!important; bottom: 0!important; right: 0!important; width: 100%!important; height: 100%!important;\n}\n<\/style>\n<p><\/code><\/p>\n<div class=\"container1\">\n  <iframe class=\"responsive-iframe\" src=\"https:\/\/www.youtube.com\/embed\/JKmnuCUf-zE?si=PuHi0cKEEfcKEqEh?rel=0&amp;frameborder=\"0\"><\/iframe>\n<\/div>\n<div style=\"text-align: center; padding-left:10%; padding-right:10%; padding-bottom:80px\" align=\"center\">\n<p style=\"text-align: center;font-size: 14px;line-height: 14px;margin-top: 15px;color: #101010\">Dr. Jennifer Linehan discusses bladder cancer diagnosis and innovative methods.<\/p>\n<\/div>\n<p><b>The following tests may be used to diagnose bladder cancer or to find out if it has spread:<\/b><\/p>\n<div style=\"width:100%;padding-left:3%\">\n<h3 style=\"font-size:24px;margin-bottom:-10px\">Urine tests:<\/h3>\n<p>A lab checks for blood, cancer cells, and other signs of disease.<\/p>\n<h3 style=\"font-size:24px;margin-bottom:-10px\">Urine Cytology:<\/h3>\n<p>This method is used to identify cancer cells in the urine collected directly from the bladder.<\/p>\n<h3 style=\"font-size:24px;margin-bottom:-10px\" id=\"bluelight\">Biopsy:<\/h3>\n<p>A cystoscope is also used to remove tissue samples so that a pathologist can examine them for cancer cells. In most cases, a biopsy is the only sure way to tell whether cancer is 100% present.<\/p>\n<p>If the biopsy finds cancer cells, the pathologist will determine the \u201cgrade\u201d of the tumor. This may indicate how fast a tumor is likely to grow. Tumors with higher grades tend to grow faster and they are more likely to spread. Doctors use tumor grades along with other factors to suggest treatment options.<\/p>\n<h3 style=\"font-size:24px;margin-bottom:-10px\">Cystoscopy:<\/h3>\n<p>A thin, lighted tube called a cystoscope is used to look directly into the bladder. Local anesthesia may be needed for this test because the cystoscope will be inserted into the bladder through the urethra.<\/p>\n<p><code><\/p>\n<style>\n  #cj-fellow .cj-row{display:grid !important; grid-template-columns:1fr 1fr !important}\n  @media (max-width:768px){#cj-fellow .cj-row{grid-template-columns:1fr !important}}\n<\/style>\n<style>\n  \/* Unique scope so themes won't collide *\/\n  #cj-fellow {\n    \/* nothing needed here; just a scope *\/\n  }\n  #cj-fellow .cj-row{\n    display:grid; \n    grid-template-columns: 1fr 1fr; \n    gap:1rem; \n    align-items:start; \n    margin:1.5rem 0;\n  }\n  \/* Responsive video wrapper (never disappears) *\/\n  #cj-fellow .cj-vid{position:relative;width:100%;height:0;padding-top:56.25%;background:#000}\n  #cj-fellow .cj-vid iframe{position:absolute;inset:0;width:100%;height:100%;border:0;display:block}<\/p>\n<p>  \/* Mobile: stack text above video *\/\n  @media (max-width:768px){\n    #cj-fellow .cj-row{grid-template-columns: 1fr}\n  }<\/p>\n<\/style>\n<div class=\"fellow-div\" style=\"margin-top:70px\">\n<div id=\"cj-fellow\">\n<div class=\"cj-row\">\n<div class=\"cj-text\" style=\"margin-top:-40px; padding-right:10%; padding-left:5%\">\n<h3 style=\"color:#042f72!important; font-weight:500; font-size:30px\">Blue Light Cystoscopy<\/h3>\n<p style=\"font-size: 20px; line-height: 22px; letter-spacing: -0.5px; color: #042f72; font-weight: 600; padding-top: 10px;\">How blue light cystoscopy is transforming bladder cancer detection.<\/p>\n<p>Blue light cystoscopy is an advanced imaging technique that uses a special dye absorbed by cancerous cells, causing them to glow bright pink under a blue\u2011light camera. This enhanced contrast helps doctors spot tumors that might be invisible under standard white light, including very small or flat lesions. The result is a more accurate, thorough evaluation of the bladder during diagnosis and treatment.<\/p>\n<\/p><\/div>\n<div class=\"cj-video\">\n<div class=\"cj-vid\">\n        <iframe\n          src=\"https:\/\/www.youtube.com\/embed\/RStbHHjLBhg?rel=0&#038;modestbranding=1&#038;playsinline=1\"\n          title=\"Jennifer Linehan, MD, explains how blue light cystoscopy is transforming bladder cancer detection.\"\n          loading=\"lazy\"\n          referrerpolicy=\"strict-origin-when-cross-origin\"\n          allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\"\n          allowfullscreen><br \/>\n        <\/iframe>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n","layer_is_content_auto_columns":false,"sidebar_position":"right","widgets":false,"layer_icon":"","layer_icon_position":"left","layer_background_color":"bg-gray-l","layer_id":"add40"},{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"","layer_intro":"","layer_content":"<h2 style=\"padding-top:50px\">Bladder Cancer Staging<\/h2>\n<p>If you are diagnosed with bladder cancer, your doctor will determine the stage of the disease. Staging is a way of classifying cancer by how much of the disease is in the body and whether it has spread. This helps us plan the best way to treat the cancer. In the case of bladder cancer, staging is used to find out whether the tumor has invaded the muscle layer, nearby tissues, or more distant parts of the body.<\/p>\n<div style=\"width:100%;padding-left:3%\">\n<h3 style=\"font-size:24px;margin-bottom:-10px\">Stage 0<\/h3>\n<p><figure id=\"attachment_1582\" aria-describedby=\"caption-attachment-1582\" style=\"width: 240px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/bladder-cancer-stages.jpg\" alt=\"bladder-cancer-stages\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-1582\" srcset=\"https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/bladder-cancer-stages.jpg 366w, https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/bladder-cancer-stages-221x300.jpg 221w, https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/bladder-cancer-stages-100x136.jpg 100w\" sizes=\"(max-width: 366px) 100vw, 366px\" \/><figcaption id=\"caption-attachment-1582\" class=\"wp-caption-text\">In later stages, the tumor invades the bladder muscle and beyond.<\/figcaption><\/figure>At this stage, cancer is confined to the inner lining of the bladder. It has not invaded deeper layers or muscle tissue. Your doctor may call this carcinoma in situ.<\/p>\n<h3 style=\"font-size:24px;margin-bottom:-10px\">Stage 1<\/h3>\n<p>Here, cancer has invaded the connective tissue beneath the bladder lining but has not reached the muscle layer.<\/p>\n<h3 style=\"font-size:24px;margin-bottom:-10px\">Stage 2<\/h3>\n<p>Cancer has spread into the muscle of the bladder wall.<\/p>\n<h3 style=\"font-size:24px;margin-bottom:-10px\">Stage 3<\/h3>\n<p>At this point, cancer has extended through the bladder muscle and into surrounding tissues or organs.<\/p>\n<h3 style=\"font-size:24px;margin-bottom:-10px\">Stage 4<\/h3>\n<p>The tumor has invaded the wall of the pelvis or abdomen, but the cancer is not found in the lymph nodes. Or the cancer cells have spread to at least one lymph node or to parts of the body far from the bladder, such as the liver, lungs, or bones.\n<\/p><\/div>\n","layer_is_content_auto_columns":false,"sidebar_position":"right","widgets":false,"layer_icon":"","layer_icon_position":"left","layer_background_color":"bg-gray-l","layer_id":"add40"},{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"","layer_intro":"","layer_content":"<h2>How is Bladder Cancer treated?<\/h2>\n<p><figure id=\"attachment_1584\" aria-describedby=\"caption-attachment-1584\" style=\"width: 400px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/bladder-cancer-patient-consulting-with-doctor.jpg\" alt=\"bladder cancer patient consulting with doctor\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-1584\" srcset=\"https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/bladder-cancer-patient-consulting-with-doctor.jpg 760w, https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/bladder-cancer-patient-consulting-with-doctor-300x200.jpg 300w, https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/bladder-cancer-patient-consulting-with-doctor-100x67.jpg 100w\" sizes=\"(max-width: 760px) 100vw, 760px\" \/><figcaption id=\"caption-attachment-1584\" class=\"wp-caption-text\">Bladder treatment will be guided by your age, health, and your medical history.<\/figcaption><\/figure>Treatment options for bladder cancer include surgery, intravesical therapy, chemotherapy, bladder sparing therapy, biological therapy, and radiation therapy. Our experts have performed thousands of laparoscopic and robotic-assisted surgeries, which help to reduce recovery time and side effects from treatment. Patients may receive more than one type of treatment depending on several factors, including the grade of the tumor, its location, and whether it has spread to other parts of the body. Before a treatment plan is determined, the following is taken into account:<\/p>\n<h3>Bladder Cancer Treatment Considerations<\/h3>\n<ul>\n<li>Your age, overall health, and medical history<\/li>\n<li>The extent of the disease<\/li>\n<li>Your tolerance of specific medicines, procedures, or therapies<\/li>\n<li>Expectations for the course of the disease<\/li>\n<li>Your preferences for treatments<\/li>\n<\/ul>\n<p>Treatment options are discussed so that you are as informed as possible when making treatment decisions.<\/p>\n<h3>Ways to Treat Bladder Cancer<\/h3>\n<p>At the Saint John\u2019s Cancer Institute, we treat both early and later-stage bladder cancer. Primarily, we aim to preserve the bladder and spare the bladder from complete removal if possible. The treating physician performs the biopsy and performs surgery to remove the tumor from the bladder through the urethra. After recovery from this minor procedure, the patient returns to the clinic for a review of the pathology.  This step allows for a more complete analysis of the tumor after it has been removed. If appropriate, weekly outpatient treatment begins. Common treatments include: <\/p>\n<ul>\n<li>Bladder Sparing Therapy (Trimodal Therapy)\n<li>Surgery<\/li>\n<li>Radiation Therapy<\/li>\n<li>Chemotherapy<\/li>\n<li>Urinary Reconstruction and Diversion<\/li>\n<li>Intravesical Therapy<\/li>\n<\/ul>\n<div class=\"fellow-div\" style=\"margin-top:100px\">\n<div id=\"cj-fellow\">\n<div class=\"cj-row\">\n<div class=\"cj-text\" style=\"margin-top:-40px; padding-right:10%; padding-left:5%\">\n<h3 id=\"sparing\" style=\"color:#042f72!important; font-weight:500; font-size:30px\">Bladder Sparing Therapy<\/h3>\n<p style=\"font-size: 20px; line-height: 22px; letter-spacing: -0.5px; color: #042f72; font-weight: 600; padding-top: 10px;\">Can you preserve the bladder having muscle-invasive bladder cancer?<\/p>\n<p>Bladder\u2011sparing therapy is an approach for patients with muscle\u2011invasive bladder cancer that aims to treat the cancer without removing the bladder. For many years, the standard treatment was a cystectomy (bladder removal) often after chemotherapy. More recently, there has been significant progress in preserving the bladder, transforming treatment for muscle\u2011invasive cancer. This approach, called trimodal therapy, combines three components: chemotherapy (sometimes immunotherapy), surgery to remove as much of the tumor as possible, and targeted radiation. <\/p>\n<\/p><\/div>\n<div class=\"cj-video\">\n<div class=\"cj-vid\">\n        <iframe\n          src=\"https:\/\/www.youtube.com\/embed\/vm-4so1vI1s?si=_hDpM4NVd6JjU40m?rel=0&#038;modestbranding=1&#038;playsinline=1\"\n          title=\"Jennifer Linehan, MD, discusses bladder-sparing therapy for bladder cancer.\"\n          loading=\"lazy\"\n          referrerpolicy=\"strict-origin-when-cross-origin\"\n          allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\"\n          allowfullscreen><br \/>\n        <\/iframe>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n<h3>Surgery<\/h3>\n<p><figure id=\"attachment_1583\" aria-describedby=\"caption-attachment-1583\" style=\"width: 400px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/Dr-Jennifer-Linehan-operates-the-da-Vinci-Robotic-system.jpg\" alt=\"Dr. Jennifer Linehan operates the da Vinci Robotic system\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-1583\" srcset=\"https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/Dr-Jennifer-Linehan-operates-the-da-Vinci-Robotic-system.jpg 720w, https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/Dr-Jennifer-Linehan-operates-the-da-Vinci-Robotic-system-300x217.jpg 300w, https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/Dr-Jennifer-Linehan-operates-the-da-Vinci-Robotic-system-100x72.jpg 100w\" sizes=\"(max-width: 720px) 100vw, 720px\" \/><figcaption id=\"caption-attachment-1583\" class=\"wp-caption-text\">Dr. Jennifer Linehan performs bladder surgery using the da Vinci robotic system.<\/figcaption><\/figure>Surgery is an option for most people with bladder cancer. Surgical options vary based on individual factors, including cancer stage and overall health.<\/p>\n<div style=\"width:100%;padding-left:3%\">\n<h4 style=\"margin-top:-10px;font-size:24px;margin-bottom:-20px\">Transurethral resection (TUR):<\/h4>\n<p>This minimally invasive surgery is often used for early-stage bladder cancer. The doctor uses a cystoscope to treat early bladder cancer without any cutting or incision by inserting a scope through the urethra to remove cancerous tissue. TURBT is typically followed by intravesical therapy to prevent recurrence. This is a type of bladder sparing procedure.<\/p>\n<h4 style=\"margin-top:-10px;font-size:24px;margin-bottom:-20px\">Cystectomy<\/h4>\n<p>In more advanced stages, the surgeon may perform a partial or radical cystectomy. The surgeon may remove all or part of the bladder. Removing only part of the bladder is called a segmental cystectomy. The most common type of surgery involves removing the entire bladder, along with nearby lymph nodes and part of the urethra, which is called a radical cystectomy. After a radical cystectomy, reconstructive surgery is necessary. This may include creating a urinary diversion, such as a urostomy, which allows urine to exit the body through a stoma in the abdomen.<\/p>\n<h4 style=\"margin-top:-10px;font-size:24px;margin-bottom:-20px\">Robotic Bladder Cancer Surgery<\/h4>\n<p>This procedure is known as robotic-assisted cystectomy. The Saint John\u2019s Cancer Institute specializes in robotic bladder surgery using the da Vinci Surgical System. In this procedure, we use a console to control miniature surgical instruments that are inserted into the body through tiny incisions. This minimally invasive surgery means less pain and a faster recovery.\n<\/p><\/div>\n<h4>Chemotherapy<\/h4>\n<p>Chemotherapy may be used to treat bladder cancer before or after surgery.<\/p>\n<div style=\"width:100%;padding-left:3%\">\n<strong>It may be used to help:<\/strong><\/p>\n<ul>\n<li>Shrink the tumor before surgery<\/li>\n<li>Keep the cancer from recurring after surgery<\/li>\n<li>Prolong life when surgery is not an option<\/li>\n<\/ul>\n<h3>You may receive chemotherapy bladder tumor treatments in several ways:<\/h3>\n<h4 style=\"margin-top:-10px;font-size:24px;margin-bottom:-20px\">Into the bladder:<\/h4>\n<p>After TUR for early bladder cancer, the doctor inserts a tube through the urethra to deliver medicine to the bladder. This treatment may be given once a week for six weeks.<\/p>\n<h4 style=\"margin-top:-10px;font-size:24px;margin-bottom:-20px\">Orally:<\/h4>\n<p>Some chemotherapy drugs are pills that may be given before or after surgery.<\/p>\n<h4 style=\"margin-top:-10px;font-size:24px;margin-bottom:-20px\">Intravenously:<\/h4>\n<p>For cancer that has invaded the muscle of the bladder or spread to other tissues, drugs are usually given intravenously via the arm.\n<\/p><\/div>\n<h3>Early Stage Immunotherapy Treatment<\/h3>\n<p>Patients with early bladder cancer may be able to receive a biological therapy (immunotherapy) called Bacillus Calmette-Guerin (BCG). It uses a weakened bacterium strain to stimulate the body\u2019s natural defenses to attack the cancer. The BCG solution is inserted into the bladder through a catheter into the urethra. Once the solution comes in contact with the bladder tissue, this activates the body\u2019s own immune system to eradicate the cancer.<\/p>\n<h3>Bladder Removal<\/h3>\n<p>When bladder cancer is extensive, requiring removal of the entire bladder, the surgeon creates another way for urine to be collected, stored, and released from the body. This is performed one of three ways. <\/p>\n<div style=\"width:100%;padding-left:3%\">\n<h4 style=\"margin-top:-10px;font-size:24px;margin-bottom:-20px\">Artificial Bladder<\/h4>\n<p><figure id=\"attachment_1585\" aria-describedby=\"caption-attachment-1585\" style=\"width: 540px\" class=\"wp-caption alignright\"><img decoding=\"async\" src=\"https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/Multidisciplinary-Urology-Team-Surgery-Medical-Oncology-and-Radiation-720.jpg\" alt=\"Multidisciplinary Urology Team - Surgery Medical Oncology and Radiation\" width=\"100%\" height=\"auto\" class=\"size-full wp-image-1585\" srcset=\"https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/Multidisciplinary-Urology-Team-Surgery-Medical-Oncology-and-Radiation-720.jpg 720w, https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/Multidisciplinary-Urology-Team-Surgery-Medical-Oncology-and-Radiation-720-300x175.jpg 300w, https:\/\/www.saintjohnscancer.org\/urology\/wp-content\/uploads\/sites\/2\/2022\/09\/Multidisciplinary-Urology-Team-Surgery-Medical-Oncology-and-Radiation-720-100x58.jpg 100w\" sizes=\"(max-width: 720px) 100vw, 720px\" \/><figcaption id=\"caption-attachment-1585\" class=\"wp-caption-text\">The multidisciplinary urology team at Saint John&#8217;s Health Center is ready to support you.<\/figcaption><\/figure>A surgeon uses tissues from the intestines to create what is known as a neobladder. The neobladder is attached to the urethra and allows the patient to urinate normally. At Saint John&#8217;s we are leaders in the field of this minimally invasive laparoscopic surgery which allows patients to return to normal physical activity much sooner.<\/p>\n<h4 style=\"margin-top:-10px;font-size:24px;margin-bottom:-20px\">Urinary diversion with a pouch inside the body<\/h4>\n<p>A surgeon uses intestinal tissue to create a reservoir called an Indiana Pouch with a path that leads out to the abdomen. The pouch collects urine inside the body. Several times a day, the patient uses a catheter (a soft tube) to connect to the path in the abdomen and empty urine in the Indiana pouch. Providence Saint John\u2019s specializes in this procedure.<\/p>\n<h4 style=\"margin-top:-10px;font-size:24px;margin-bottom:-20px\">Urinary diversion with a bag outside the body<\/h4>\n<p>A surgeon uses intestinal tissue to create a path for urine to leave the body through an opening in the abdomen. This path is called a stoma. Its opening in the abdomen is covered by a bag that sits outside the body and catches the urine as it is released.\n<\/p><\/div>\n","layer_is_content_auto_columns":false,"sidebar_position":"right","widgets":false,"layer_icon":"","layer_icon_position":"left","layer_background_color":"bg-gray-l","layer_id":"add40"},{"acf_fc_layout":"layer_two_column","layer_label":"","layer_headline":"","layer_intro":"","layer_content_left":"<p style=\"font-size: 36px;line-height: 40px;font-weight: bold;color: #fff!important\">If you have questions regarding bladder cancer treatment, please call today. <a href=\"https:\/\/www.saintjohnscancer.org\/contact-us\/?center=Urology%20and%20Urologic%20Oncology\"><u>Click here<\/u><\/a> to request an appointment.<\/p>\n","layer_content_right":"<p style=\"font-size: 40px;font-weight: bold;text-align: center;padding-top:40px\"><a href=\"tel:310-582-7137\">310-582-7137<\/a><\/p>\n","layer_icon":"","layer_icon_position":"left","layer_background_color":"bg-orange","layer_id":""},{"acf_fc_layout":"layer_featured_blog_items","layer_label":"","layer_headline":"Urology News and Health Information From Our Blog","layer_intro":"","layer_featuredblog_col_width":"quarters","layer_featuredblog_pullbycat":"blog","layer_featuredblog_selectblogcat":["urology"],"layer_featuredblog_selectblogauth":[],"layer_featuredblog_more_link":{"title":"Read More Urology Articles","url":"https:\/\/www.saintjohnscancer.org\/blog\/category\/urology\/","target":""},"layer_background_color":"bg-gray-l","layer_id":""},{"acf_fc_layout":"layer_content_sidebar","layer_label":"","layer_headline":"","layer_intro":"","layer_content":"<p><div class='content-column one_half'><div style=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-4868\" src=\"https:\/\/www.saintjohnscancer.org\/wp-content\/uploads\/2021\/09\/US-News-Word-Report-High-Performing-Hospitals-Urology.jpg\" alt=\"US News &amp; Word Report - High Performing Hospitals - Urology\" width=\"247\" height=\"204\" \/><\/div><\/div><div class='content-column one_half last_column'><div style=\"\"><h3>Providence St. John&#8217;s Health Center<\/h3>\n<h4 style=\"font-size: 28px!important\"><em>High Performing in Urology<\/em><\/h4>\n<p><strong>Saint John&#8217;s Health Center is nationally ranked and in the top 10% for Urology<\/strong><\/p>\n<p>Learn more at <a href=\"https:\/\/health.usnews.com\/best-hospitals\/area\/ca\/st-johns-health-center-6933450\/urology\" target=\"_blank\" rel=\"noopener\"><u>Health.USNews.com<\/u><\/a>.<\/p><\/div><\/div><div class='clear_column'><\/div><\/p>\n","layer_is_content_auto_columns":false,"sidebar_position":"right","widgets":false,"layer_icon":"","layer_icon_position":"left","layer_background_color":"bg-tertiary-d","layer_id":""}],"int_alt_page_title":"Bladder Cancer: Signs &amp; Symptoms, Diagnosis and Treatment","int_page_description":"","int_masthead_image":false,"int_page_icon":"","int_secondary_cta_override":false,"int_secondary_cta_is_hidden":false,"header_scripts":"{\r\n  \"@context\": \"http:\/\/schema.org\",\r\n  \"@type\": \"MedicalWebPage\",\r\n  \"audience\": \"http:\/\/schema.org\/Patient\",\r\n  \"URL\": \"https:\/\/www.saintjohnscancer.org\/\/urology\/conditions\/bladder-cancer\/\",\r\n    \"mainContentOfPage\": [\r\n    \"Overview\",\r\n\t\"Signs and Symptoms\",\r\n    \"Risk Factors\",\r\n\t\"Diagnosis\"\r\n  ],\r\n  \"sourceorganization\": {\r\n  \"@type\":\"organization\",\r\n\"Name\": \"Saint John\u2019s Cancer Institute\",\r\n\"URL\": \"https:\/\/www.saintjohnscancer.org\/\"\r\n\t},\r\n\"mainentity\":{\r\n\"@type\": \"FAQPage\",\r\n\"mainEntity\": [{\r\n\"@type\": \"Question\",\r\n\"name\": \"What Is Bladder Cancer?\",\r\n\"acceptedAnswer\": {\r\n\"@type\": \"Answer\",\r\n\"text\": \"Each year in the United States, more than 61,700 men and 18,770 women are diagnosed with bladder cancer. Most are over 70 years old. There are two kinds of bladder tumors: Benign tumors: These are not cancerous, and usually they are not a threat to life. They don\u2019t invade the tissue around them and once they are treated or removed, they usually don\u2019t grow back. Malignant tumors: These are cancerous growths. Although they usually can be removed, they can also grow back. Bladder cancer cells can invade nearby organs, such as the prostate in a man or the uterus in a woman. They can also break way from a tumor and spread through blood vessels to other parts of the body, including the liver, lungs, bones and lymph nodes. When this happens, the cancer has metastasized and new tumors may form in those parts of the body.\"\r\n}\r\n},{\r\n\"@type\": \"Question\",\r\n\"name\": \"How is Bladder Cancer Diagnosed?\",\r\n\"acceptedAnswer\": {\r\n\"@type\": \"Answer\",\r\n\"text\": \"In order to reach a diagnosis for bladder cancer, we take a thorough medical history and conduct a physical examination to be as accurate as possible. We\u2019ll ask questions, make note of any symptoms you may have experienced and include any other pertinent information. The following tests may be used to diagnose bladder cancer or to find out if it has spread: Urine tests: A lab checks for blood, cancer cells and other signs of disease. Urine Cytology: is used to help look for cancer cells in the urine collected from the patients bladder. Cystoscopy: A thin, lighted tube called a cystoscope is used to look directly into the bladder. A local anesthesia may be needed for this test because the cystoscope will be inserted into the bladder through the urethra. Biopsy: A cystoscope is used to remove tissue samples and a pathologist examines them for cancer cells. In most cases, a biopsy is the only sure way to tell whether cancer is present. If the biopsy finds cancer cells, the pathologist will determine the \u201cgrade\u201d of the tumor. This may indicate how fast a tumor is likely to grow. Tumors with higher grades tend to grow faster and they are more likely to spread. Doctors use tumor grades along with other factors to suggest treatment options.\"\r\n},    \r\n  \"about\": {\r\n    \"@type\":\"MedicalCondition\",\r\n    \"name\":\"Bladder Cancer\",\r\n\t\"subjectof\":\"https:\/\/en.wikipedia.org\/wiki\/Bladder_cancer\",\r\n     \"signOrSymptom\": [\r\n       {\r\n              \"@type\": \"MedicalSignOrSymptom\",\r\n         \"name\": \"Blood in urine; this may make your urine look rusty in color\"\r\n       },\r\n       {\r\n         \"@type\": \"MedicalSignOrSymptom\",\r\n         \"name\": \"Feeling an urgent need to urinate\"\r\n    },\r\n       {\r\n         \"@type\": \"MedicalSignOrSymptom\",\r\n         \"name\": \"Having to urinate more often than you used to\"\r\n    },\r\n       {\r\n         \"@type\": \"MedicalSignOrSymptom\",\r\n         \"name\": \"Feeling the need to urinate but with no results\"\t\r\n    },\r\n       {\r\n         \"@type\": \"MedicalSignOrSymptom\",\r\n         \"name\": \"Needing to strain or bear down when you urinate\"\t\t\r\n    },\r\n       {\r\n         \"@type\": \"MedicalSignOrSymptom\",\r\n         \"name\": \"Feeling pain when you urinate\"\t\r\n    }     \r\n    ],\r\n  \"riskFactor\": [\r\n    {\r\n      \"@type\": \"MedicalRiskFactor\",\r\n      \"name\": \"Chemicals in the workplace: Workers in the dye, rubber, chemical, metal, textile and leather industries may be at higher risk of bladder cancer. Also at risk are hairdressers, machinists, printers, painters and truck drivers.\"\r\n },\r\n    {\r\n      \"@type\": \"MedicalRiskFactor\",\r\n      \"name\": \"Smoking is the biggest risk factor: The longer someone smokes, the greater the risk.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalRiskFactor\",\r\n      \"name\": \"Certain cancer treatments: People with cancer who have been treated with certain drugs, such as cyclophosphamide, or who have had radiation treatment to the abdomen or pelvis may face a higher risk.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalRiskFactor\",\r\n      \"name\": \"Race and ethnicity: Caucasians are about twice as likely to develop bladder cancer as African Americans.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalRiskFactor\",\r\n      \"name\": \"Age: About 9 out of 10 people with bladder cancer are over 55.\"\r\n    }\r\n    ],   \r\n \"Typicaltest\": [\r\n    {\r\n      \"@type\": \"MedicalTest\",\r\n      \"name\": \"Urine tests\",\r\n      \"Description\": \"A lab checks for blood, cancer cells and other signs of disease.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalTest\",\r\n      \"name\": \"Urine Cytology\",\r\n      \"Description\": \"is used to help look for cancer cells in the urine collected from the patients bladder.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalTest\",\r\n      \"name\": \"Cystoscopy\",\r\n      \"Description\": \"A thin, lighted tube called a cystoscope is used to look directly into the bladder. A local anesthesia may be needed for this test because the cystoscope will be inserted into the bladder through the urethra.\"\r\n    },\r\n    {\r\n      \"@type\": \"MedicalTest\",\r\n      \"name\": \"Biopsy\",\r\n      \"Description\": \"A cystoscope is used to remove tissue samples and a pathologist examines them for cancer cells. In most cases, a biopsy is the only sure way to tell whether cancer is present.\"\r\n    }\r\n \t]\r\n    }\r\n}\r\n]\r\n}\r\n}]\r\n "},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Symptoms, Diagnosis, and Treatment for Bladder Cancer | Saint John\u2019s Cancer Institute - Santa Monica, CA<\/title>\n<meta name=\"description\" content=\"Bladder cancer is a common cancer that affects older adults. 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