Bladder Cancer Treatment

Bladder cancer may be a challenging diagnosis, but our experienced urology team is committed to providing comprehensive care and evidence-based treatment options for you. Reach out to us to learn more.

Dr Png Keng Siang
Consultant Urologist & Robotic Surgeon

What is Bladder Cancer?

Bladder cancer is a type of cancer that originates in the cells lining the bladder. It’s the fourth most common cancer in men and the tenth most common cancer in women.

The main types of bladder cancer are urothelial carcinoma (also known as transitional cell carcinoma), squamous cell carcinoma, and adenocarcinoma. Urothelial carcinoma is the most common type, accounting for about 90% of all bladder cancers. Risk factors for developing bladder cancer include smoking, exposure to specific chemicals, chronic bladder inflammation, and a family history of the disease.

Bladder Cancer stages and types

The staging of bladder cancer is key in determining the appropriate treatment options. Staging is based on the extent of the tumour, whether it has spread to nearby lymph nodes, and whether it has metastasized to distant parts of the body. Bladder cancer stages range from stage 0 (non-invasive) to stage IV (metastatic). There are several types of bladder cancer, including:

Urothelial carcinoma (transitional cell carcinoma)

This is the most common type of bladder cancer, accounting for about 90% of cases. It begins in the urothelial cells, which line the inside of the bladder.

Squamous cell carcinoma

This type of bladder cancer is less common and develops in the thin, flat cells that line the bladder – often associated with chronic bladder irritation and inflammation.

Adenocarcinoma

This rare type of bladder cancer originates in the glandular cells of the bladder lining.

Early detection and diagnosis of bladder cancer

Early detection and diagnosis of bladder cancer improve the chances of successful treatment. Symptoms of bladder cancer may include blood in the urine, frequent urination, pain during urination, and lower back pain. If you experience any of these symptoms, consult with a urologist as soon as possible.

Diagnosing bladder cancer usually involves several tests and procedures, such as a physical examination, urine tests, cystoscopy (a procedure that allows the doctor to examine the inside of the bladder), and imaging tests like ultrasound, CT scan, or MRI. If these tests indicate the presence of bladder cancer, a biopsy may be performed to confirm the diagnosis and determine the cancer’s stage and type.

Bladder cancer treatment options

Surgical treatments

Surgery is one of the primary treatment options for bladder cancer. The type of surgery depends on the stage and type of bladder cancer. Some surgical treatments include:

  • Transurethral resection of bladder tumour (TURBT): This procedure is used for early-stage bladder cancer and involves removing the tumour through a cystoscope inserted into the urethra.
  • Partial cystectomy: This surgery involves removing the cancerous part of the bladder, along with a margin of healthy tissue.
  • Radical cystectomy: This procedure involves the complete removal of the bladder, along with nearby lymph nodes and possibly other organs. In men, the prostate and seminal vesicles may be removed, while in women, the uterus, ovaries, and part of the vagina may be removed.
  • Urinary diversion: Following a radical cystectomy, a new way for urine to exit the body is created. This can be achieved through an ileal conduit, a continent urinary reservoir, or a neobladder.

Chemotherapy

Chemotherapy uses drugs to kill cancer cells throughout the body. It’s often used in combination with other treatments, such as surgery or radiation therapy, to treat advanced bladder cancer. Chemotherapy drugs can be taken orally or administered intravenously. Common chemotherapy drugs used for bladder cancer include cisplatin, gemcitabine, and methotrexate. Side effects of chemotherapy can include fatigue, nausea, hair loss, and increased risk of infection.

Radiation therapy

Radiation therapy uses high-energy radiation to kill cancer cells. It may be used as a primary treatment for bladder cancer or in combination with surgery or chemotherapy. External beam radiation therapy is the most common type of radiation therapy used for bladder cancer. It involves directing high-energy X-rays at the bladder from outside the body. Side effects of radiation therapy can include fatigue, skin irritation, and bladder irritation.

What to know before the treatment

Before starting treatment for bladder cancer, there are several things you need to consider. Discuss your treatment options with your urologist and ask any questions you may have. You should also consider the potential side effects of each treatment, as well as the possible impact on your quality of life.

Post-treatment aftercare

After completing treatment for bladder cancer, follow up with your specialist regularly. This may involve undergoing imaging tests and other procedures to monitor your condition and detect any potential recurrence of cancer. Make lifestyle changes to improve your overall health, such as quitting smoking, eating a balanced diet, and getting regular exercise.

Costs of Bladder Cancer Treatment

The cost of bladder cancer treatment can vary widely depending on the type of treatment, the stage of the cancer, and the individual patient’s circumstances.

Our clinics are under the following

insurance panels

For Singaporeans, Singapore Permanent Residents and Foreigners.
Please speak to our friendly clinic staff about using your insurance plans.

Dr Png Keng Siang

Consultant Urologist & Robotic Surgeon

Dr Png is a United States fellowship-trained urologist who received his urology specialist board certification from Singapore. He is the first and only urologist in Singapore to be inducted into the Fellow, American College of Surgeons (FACS) after completing a minimally invasive surgery fellowship in the USA at the Indiana University School of Medicine, where he sub-specialised in robotic and laparoscopic surgery for urological cancers.

  • Joint Committee of Specialist Training Site Accreditor, Urology Residency Program
  • President of the Robotic Surgery Society of Singapore
Prior To Private Practice:
  • Director of the Robotic Urological Surgery Fellowship Program, Tan Tock Seng Hospital
  • Director of the National Healthcare Group Urology Residency Program & Adjunct Assistant Professor, NUS Yong Loo Lin School of Medicine
  • Member of the American Urological Association, Endourological Society (USA)
  • Executive Committee of the Singapore Urological Association, 2013 to 2020
Read Full Bio

Reach Out To Us

We are committed to providing a one-stop experience, where you’ll receive a meticulous consultation and high-quality service in a comfortable environment.

Get Started

Book An Appointment





    image

    • Book An Appointment

    • Media Enquiry

    • Partnership Opportunity



    image

    For faster response, Call Us

    (65) 6733 3383