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Bladder tumors

 
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Malignant Bladder tumors are one of the most common malignant tumors found worldwide and most commonly in Egypt. Seventy percent of these tumors are superficial in nature but have the tendency to recur and become advanced.


These tumors are manifested by bloody urine accompanied by a burning sensation, as well as high frequency in urination.


The conventional treatment used for these tumors is their removal using the endoscope. In a bad case scenario, a tumor will recur. In fact, there is high likelihood of recurrence of bladder tumor, which occurs in almost 70% of cases. In some cases, the tumor progresses to invade the bladder muscle. There is always risk of bleeding in patients with a bleeding tendency. But, perhaps the worst of all is risking bladder perforation or puncturing, which albeit is a remote and minor risk yet very dangerous upon its occurrence.


Ablating laser tumors with Ceralas 300 is a conduit for which to avoid all the aforementioned risks. It is equipped with the advantage of deep penetration- which means that the laser not only destroys the tumor but kills the tumor cells, existing deep in the bladder wall, without the risk of perforation. This, at least theoretically, should decrease the tumor recurrence.

Laser is not associated with bleeding as it functions to close up  the associated blood vessels. This is of great importance and relevance to patients with bleeding tendencies as those suffering from liver or blood diseases, as well as, those cardiac patients who take blood thinning medications.


Other types of laser treatment have surged with regards to aggressive bladder tumors. These treatments accurately target those areas inflected with scattered tumors. Aggressive bladder tumors are associated with what is called field change which is changes that occur to the bladder wall away from the tumor site.  Because of that, a patient with high risk disease must undergo consecutive treatments of bladder chemotherapy or immunotherapy after the initial resection. Although these tumors might have a decreased recurrence rate, it is not entirely evading. Additionally, they are associated with severe side-effects like burning voiding and increased voiding frequency.


Laser treats this problem with a wholeheartedly different approach. A drug is injected, concentrating only in tumor cells.

Then, the whole bladder is treated with a low power laser which activates this drug inside all tumor cells, whether visible or not, killing them and those in the field change. Though this is a new treatment, it is a very promising one.