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Bladder Cancer Treatment in Gomti Nagar Extension, Lucknow – Swastik Urology Clinic
Swastik Urology Clinic in Gomti Nagar Extension, Lucknow offers specialised and evidence-based care for bladder cancer under the supervision of Dr. Aditya Sengar (Urologist). From the first episode of blood in urine to confirmed bladder tumours requiring surgery and intravesical therapy, we provide personalised treatment plans focused on early diagnosis, bladder preservation whenever possible, cancer control and long-term follow-up.
What is Bladder Cancer?
Bladder cancer occurs when the cells lining the inside of the urinary
bladder start growing abnormally and form tumours. The most common type is
urothelial (transitional cell) carcinoma, which arises from the
inner lining that comes into contact with urine.
In early stages, bladder cancer is often limited to the inner layers of the bladder wall (non–muscle-invasive bladder cancer). If not treated in time, it can grow deeper into the muscle or spread outside the bladder (muscle-invasive bladder cancer), making treatment more complex.
The hallmark symptom is blood in urine (hematuria), which may be painless and intermittent. Because early detection allows for simpler endoscopic treatment and better outcomes, any suspicious urinary symptom should be evaluated by a urologist without delay.
In early stages, bladder cancer is often limited to the inner layers of the bladder wall (non–muscle-invasive bladder cancer). If not treated in time, it can grow deeper into the muscle or spread outside the bladder (muscle-invasive bladder cancer), making treatment more complex.
The hallmark symptom is blood in urine (hematuria), which may be painless and intermittent. Because early detection allows for simpler endoscopic treatment and better outcomes, any suspicious urinary symptom should be evaluated by a urologist without delay.
Blood in Urine (Hematuria)
The most important warning sign of bladder cancer is blood in urine.
Urine may appear red, pink or cola-coloured, and bleeding can occur without
any pain. It may come and go, leading some patients to ignore it. Even a
single episode of visible blood in urine in adults, especially in smokers,
requires prompt urology evaluation and cystoscopy.
Burning Urination & Irritative Symptoms
Frequent urination, urgency, difficulty in holding urine and burning or
discomfort while passing urine can be symptoms of bladder cancer as well as
infection. Persistent or recurrent “infection-like” symptoms, especially in
older patients or smokers, should not be ignored and may need cystoscopy if
initial tests are inconclusive.
Lower Abdominal Pain & Pelvic Discomfort
Some patients with bladder cancer may have dull lower abdominal pain,
a feeling of pressure or discomfort in the pelvic region, especially when
the tumour is large or associated with obstruction. These symptoms are
non-specific but, along with hematuria, strongly warrant further evaluation.
Difficulty Passing Urine & Clots
In some cases, blood clots may form in the bladder and lead to difficulty
in passing urine or urinary retention. Patients may have
sudden inability to pass urine with pain and lower abdominal distension.
This is an emergency and needs immediate urology care for relief and further
management.
Causes & Risk Factors for Bladder Cancer
Bladder cancer is influenced by several environmental and lifestyle factors, along
with individual susceptibility:
1. Smoking – Cigarette smoking is the single most important risk factor for bladder cancer. Harmful chemicals in tobacco are filtered by the kidneys and stored in urine, repeatedly contacting the bladder lining.
2. Occupational Chemical Exposure – Long-term exposure to certain industrial chemicals and dyes (used in rubber, leather, textile, paint and printing industries) can increase bladder cancer risk.
3. Recurrent or Chronic Bladder Infections – Long-standing inflammation of the bladder lining, chronic catheterisation or some parasitic infections (in endemic areas) can predispose to cancer.
4. Prior Chemotherapy or Radiotherapy – Certain chemotherapy drugs and pelvic radiation received in the past may slightly raise the risk of bladder cancer later.
5. Age, Male Sex & Family History – Bladder cancer is more common in older adults and in men. A positive family history can also increase risk.
Detailed evaluation with urine tests, ultrasound, CT scan and cystoscopy helps to detect the tumour, determine its extent and choose the best treatment for cancer control and bladder preservation.
1. Smoking – Cigarette smoking is the single most important risk factor for bladder cancer. Harmful chemicals in tobacco are filtered by the kidneys and stored in urine, repeatedly contacting the bladder lining.
2. Occupational Chemical Exposure – Long-term exposure to certain industrial chemicals and dyes (used in rubber, leather, textile, paint and printing industries) can increase bladder cancer risk.
3. Recurrent or Chronic Bladder Infections – Long-standing inflammation of the bladder lining, chronic catheterisation or some parasitic infections (in endemic areas) can predispose to cancer.
4. Prior Chemotherapy or Radiotherapy – Certain chemotherapy drugs and pelvic radiation received in the past may slightly raise the risk of bladder cancer later.
5. Age, Male Sex & Family History – Bladder cancer is more common in older adults and in men. A positive family history can also increase risk.
Detailed evaluation with urine tests, ultrasound, CT scan and cystoscopy helps to detect the tumour, determine its extent and choose the best treatment for cancer control and bladder preservation.
Why Choose Swastik Urology Clinic for Bladder Cancer Treatment?
Swastik Urology Clinic in Gomti Nagar Extension, Lucknow is
dedicated to safe, systematic and up-to-date management of bladder cancer:
• Experienced Urologist – Dr. Aditya Sengar
Extensive experience in evaluating blood in urine, diagnosing bladder tumours and treating non–muscle-invasive as well as advanced bladder cancers using standard protocols.
• Comprehensive Diagnostic Workup
We offer complete evaluation including urine analysis and cytology, ultrasound, CT urography and diagnostic cystoscopy to accurately identify the source of bleeding and map bladder tumours.
• Advanced Endoscopic Treatment (TURBT)
Bladder tumours are removed using TURBT (transurethral resection of bladder tumour) through the urinary passage, without any external cut, ensuring adequate sampling for staging and grading.
• Intravesical Therapy & Tailored Follow-Up
We provide intravesical chemotherapy or BCG instillation for suitable non–muscle- invasive cancers and create individualised follow-up plans with periodic cystoscopy to monitor for recurrence.
• Multidisciplinary Approach for Advanced Disease
In muscle-invasive or high-risk cases, we coordinate with oncology and surgical teams for radical cystectomy, urinary diversion and systemic therapy as per international guidelines, ensuring holistic and continuous care.
• Experienced Urologist – Dr. Aditya Sengar
Extensive experience in evaluating blood in urine, diagnosing bladder tumours and treating non–muscle-invasive as well as advanced bladder cancers using standard protocols.
• Comprehensive Diagnostic Workup
We offer complete evaluation including urine analysis and cytology, ultrasound, CT urography and diagnostic cystoscopy to accurately identify the source of bleeding and map bladder tumours.
• Advanced Endoscopic Treatment (TURBT)
Bladder tumours are removed using TURBT (transurethral resection of bladder tumour) through the urinary passage, without any external cut, ensuring adequate sampling for staging and grading.
• Intravesical Therapy & Tailored Follow-Up
We provide intravesical chemotherapy or BCG instillation for suitable non–muscle- invasive cancers and create individualised follow-up plans with periodic cystoscopy to monitor for recurrence.
• Multidisciplinary Approach for Advanced Disease
In muscle-invasive or high-risk cases, we coordinate with oncology and surgical teams for radical cystectomy, urinary diversion and systemic therapy as per international guidelines, ensuring holistic and continuous care.
Bladder Cancer Treatment Options at Swastik Urology Clinic
Treatment choice depends on the stage, grade, size and number of
tumours, as well as your general health and preferences:
1. Diagnostic Cystoscopy & TURBT
• Initial step for diagnosis and treatment of visible bladder tumours
• A cystoscope is passed through the urethra to visualise the bladder from inside
• TURBT is performed to remove tumour tissue and obtain biopsy for staging and grading
2. Intravesical Chemotherapy / BCG
• Recommended for non–muscle-invasive bladder cancer based on risk category
• Anti-cancer drugs or BCG are instilled directly into the bladder through a catheter in repeated sessions
• Helps reduce the chance of tumour recurrence and progression
3. Radical Cystectomy & Urinary Diversion (Referred Multidisciplinary Care)
• In muscle-invasive or very high-risk cases, removal of the bladder (radical cystectomy) with creation of an alternate way for urine drainage may be required
• We coordinate with specialised centres and oncology teams when such major surgery and systemic therapy are needed
4. Surveillance & Long-Term Follow-Up
• Regular cystoscopy, urine tests and imaging are essential because bladder cancer can recur
• Follow-up intervals are decided as per stage, grade and risk profile
• Lifestyle advice, smoking cessation and control of risk factors are emphasised to support long-term bladder and general health
Your urologist will discuss all suitable options and suggest the safest and most effective treatment plan based on your reports, expectations and overall clinical condition.
1. Diagnostic Cystoscopy & TURBT
• Initial step for diagnosis and treatment of visible bladder tumours
• A cystoscope is passed through the urethra to visualise the bladder from inside
• TURBT is performed to remove tumour tissue and obtain biopsy for staging and grading
2. Intravesical Chemotherapy / BCG
• Recommended for non–muscle-invasive bladder cancer based on risk category
• Anti-cancer drugs or BCG are instilled directly into the bladder through a catheter in repeated sessions
• Helps reduce the chance of tumour recurrence and progression
3. Radical Cystectomy & Urinary Diversion (Referred Multidisciplinary Care)
• In muscle-invasive or very high-risk cases, removal of the bladder (radical cystectomy) with creation of an alternate way for urine drainage may be required
• We coordinate with specialised centres and oncology teams when such major surgery and systemic therapy are needed
4. Surveillance & Long-Term Follow-Up
• Regular cystoscopy, urine tests and imaging are essential because bladder cancer can recur
• Follow-up intervals are decided as per stage, grade and risk profile
• Lifestyle advice, smoking cessation and control of risk factors are emphasised to support long-term bladder and general health
Your urologist will discuss all suitable options and suggest the safest and most effective treatment plan based on your reports, expectations and overall clinical condition.
When should I consult a urologist for suspected bladder cancer?
You should consult a urologist if you notice blood in urine (even once), have frequent or urgent urination, burning while passing urine that keeps coming back, or if an ultrasound/CT scan has shown a bladder lesion or thickening. Adults, especially smokers or those exposed to industrial chemicals, should take hematuria very seriously. Sudden urinary retention with clots or severe lower abdominal pain also needs urgent urology evaluation.
Is cystoscopy or TURBT for bladder tumour painful?
Diagnostic cystoscopy can be done under local anaesthesia or short anaesthesia, and most patients tolerate it well with only mild temporary discomfort. TURBT, which is the endoscopic surgery to remove bladder tumour, is performed under spinal or general anaesthesia, so there is no pain during the procedure. After surgery, there may be burning, mild pain and blood-tinged urine for a few days, which usually improves with medicines, hydration and rest as advised by your doctor.
How long do I need to stay in the hospital for bladder cancer treatment?
Hospital stay depends on the type of procedure and your overall health. Many patients undergoing TURBT require a short admission of 1–2 days. If there is significant bleeding, clot retention, other medical problems, or if more extensive surgery is planned at a higher centre, the stay may be longer. Your urologist will explain the expected duration, catheter removal timing and recovery milestones before the procedure.
Can bladder cancer be prevented or its risk reduced?
Not all cases can be completely prevented, but the risk of bladder cancer can be significantly reduced by stopping smoking, avoiding unnecessary exposure to industrial chemicals, drinking adequate water, and treating urinary infections promptly. Most importantly, early evaluation of blood in urine and regular follow-up after treatment help detect any recurrence at a stage when it is easier to manage. At Swastik Urology Clinic, we counsel you on lifestyle measures and create a structured follow-up plan to support long-term bladder health.