Bladder Carcinoma

Transurethral resection (TUR-B) is sufficient in superficial tumours. Depending on the size and grading of the tumour, instillation therapy, such as Mitomycin, can be undertaken as adjuvant treatment. For the detection of flat tumours (carcinoma in situ), a TUR-B should be performed with "photodynamic diagnostics". To this end, a fluorescent substrate is instilled into the bladder, which is absorbed by cells with a high substrate turnover.

If tumour growth is muscle invasive, the only curative option is a radical cystectomy. Depending on the patient's approval and age, for a urinary diversion an orthotopic bladder replacement (neoblase) or an ileum conduit may be called for.

At the metastasised stage, individualised treatment concepts will be implemented using chemotherapy.