{"id":437,"date":"2022-12-14T17:34:47","date_gmt":"2022-12-14T15:34:47","guid":{"rendered":"https:\/\/urologistkefalonia.gr\/?page_id=437"},"modified":"2023-01-10T03:11:44","modified_gmt":"2023-01-10T01:11:44","slug":"ca-ourodochou-kysteos","status":"publish","type":"page","link":"https:\/\/urologistkefalonia.gr\/en\/pathiseis\/ca-ourodochou-kysteos\/","title":{"rendered":"Bladder cancer"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"437\" class=\"elementor elementor-437\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-745a8216 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"745a8216\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6cc0e3bb\" data-id=\"6cc0e3bb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-15f4adc6 elementor-widget elementor-widget-template\" data-id=\"15f4adc6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"section\" data-elementor-id=\"340\" class=\"elementor elementor-340\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1f21f835 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"1f21f835\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-20d17a1a\" data-id=\"20d17a1a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4f102797 elementor-icon-list--layout-inline elementor-align-center elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"4f102797\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">DISEASES<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-right\" viewbox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-218a6787 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"218a6787\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-29cda670\" data-id=\"29cda670\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4d9d629f elementor-widget elementor-widget-text-editor\" data-id=\"4d9d629f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Bladder cancer is the <strong>2nd<\/strong> most common cancer of the urinary system, after prostate cancer. In <strong>men<\/strong>, it is <strong>4 times<\/strong> more common than in women. Due to high risk of recurrence, regular lifelong review with ultrasound and cystoscopy is necessary. In aggressive stages random biopsies and CT scan are needed.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-15305864 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"15305864\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6ae1fcc8\" data-id=\"6ae1fcc8\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7bad8984 elementor-widget elementor-widget-heading\" data-id=\"7bad8984\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Causes - risk factors<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-37260a05 elementor-widget elementor-widget-text-editor\" data-id=\"37260a05\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>There is no clear etiology. However, there are some risk factors that increase the chances of its occurrence such as:<\/p><ul><li>Smoking: it is the most common risk factor and affects at least 80% of cases, also presenting a high rate of recurrence.<\/li><li>Occupational exposure to chemicals (paints, plastics, leather, printers and hair products) accounts for 10% of all cases.<\/li><li>Other risk factors: radiation, chronic bladder infection, chemotherapy with cyclophosphamide.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c7a3e54 elementor-widget elementor-widget-heading\" data-id=\"c7a3e54\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Symptoms<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-99811ac elementor-widget elementor-widget-text-editor\" data-id=\"99811ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Painless gross or microscopic hematuria is the most common symptom of the disease. Remarkable is the fact that even a single episode of hematuria, without any recurrence, can hide bladder cancer. Other less common symptoms of the disease are painful urination, frequency, urgency, weakness and weight loss.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2334c67d\" data-id=\"2334c67d\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-49eb743 elementor-widget elementor-widget-heading\" data-id=\"49eb743\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Diagnosis and Staging<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4b5c208d elementor-widget elementor-widget-text-editor\" data-id=\"4b5c208d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Diagnosis is made by cystoscopy and Bladder Biopsy. If the disease is diagnosed, it is very important to perform staging with CT scan and bone scanning to investigate metastatic disease. Bladder cancer is staged as:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-ec9e0e4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ec9e0e4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-3824b06\" data-id=\"3824b06\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bb91e58 elementor-widget elementor-widget-image\" data-id=\"bb91e58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"458\" height=\"301\" src=\"https:\/\/urologistkefalonia.gr\/wp-content\/uploads\/Ca-\u03ba\u03c5\u03c3\u03c4\u03b5\u03c9\u03c2-stagging.png\" class=\"attachment-large size-large wp-image-623\" alt=\"ca ourodoxou2\" srcset=\"https:\/\/urologistkefalonia.gr\/wp-content\/uploads\/Ca-\u03ba\u03c5\u03c3\u03c4\u03b5\u03c9\u03c2-stagging.png 1267w, https:\/\/urologistkefalonia.gr\/wp-content\/uploads\/Ca-\u03ba\u03c5\u03c3\u03c4\u03b5\u03c9\u03c2-stagging-300x120.png 300w, https:\/\/urologistkefalonia.gr\/wp-content\/uploads\/Ca-\u03ba\u03c5\u03c3\u03c4\u03b5\u03c9\u03c2-stagging-1024x409.png 1024w, https:\/\/urologistkefalonia.gr\/wp-content\/uploads\/Ca-\u03ba\u03c5\u03c3\u03c4\u03b5\u03c9\u03c2-stagging-768x307.png 768w, https:\/\/urologistkefalonia.gr\/wp-content\/uploads\/Ca-\u03ba\u03c5\u03c3\u03c4\u03b5\u03c9\u03c2-stagging-18x7.png 18w\" sizes=\"(max-width: 458px) 100vw, 458px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-2fa8c41 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2fa8c41\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-72029bf\" data-id=\"72029bf\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-26f8b0f elementor-widget elementor-widget-image\" data-id=\"26f8b0f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"513\" height=\"384\" src=\"https:\/\/urologistkefalonia.gr\/wp-content\/uploads\/ca-kisteos-en@2x.jpg\" class=\"attachment-large size-large wp-image-444\" alt=\"1XG3c3O\" srcset=\"https:\/\/urologistkefalonia.gr\/wp-content\/uploads\/ca-kisteos-en@2x.jpg 1418w, https:\/\/urologistkefalonia.gr\/wp-content\/uploads\/ca-kisteos-en@2x-300x215.jpg 300w, https:\/\/urologistkefalonia.gr\/wp-content\/uploads\/ca-kisteos-en@2x-1024x732.jpg 1024w, https:\/\/urologistkefalonia.gr\/wp-content\/uploads\/ca-kisteos-en@2x-768x549.jpg 768w, https:\/\/urologistkefalonia.gr\/wp-content\/uploads\/ca-kisteos-en@2x-18x12.jpg 18w\" sizes=\"(max-width: 513px) 100vw, 513px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3ad3e103 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3ad3e103\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-498f0575\" data-id=\"498f0575\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-650b223f elementor-widget elementor-widget-heading\" data-id=\"650b223f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Treatment <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-58c71367 elementor-widget elementor-widget-text-editor\" data-id=\"58c71367\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The type of treatment depends on the stage of the disease and the general condition of health of the patient.<\/p><ul><li><strong>Surgical removal (TURBT):<\/strong> tumor(s) removal and cauterization.<\/li><li><strong>Intravesical immunotherapy with BCG: <\/strong>a Tiemman catheter is inserted and the doctor injects weakened BCG bacterial strains into the bladder, which kill cancer cells.<\/li><\/ul><ul><li><strong>Intravesical chemotherapy: <\/strong>It is done in the same way as immunotherapy, but with fewer and milder side effects. A single injection (within 24 hours) after transurethral resection of the tumor(s) reduces the recurrence rate by destroying tumor cells floating in the bladder, thereby preventing their implantation in areas of injured urothelium.<\/li><li><strong>Radical cystectomy:<\/strong> complete removal of the bladder, lymph nodes, as well as the prostate with the seminal vesicles in men, while the uterus, appendages and part of the vagina in women. It is a severe operation with many days of hospitalization. Afterwards, a stoma is placed or we create a new cyst from a part of the small intestine (neocyst).<\/li><li><strong>Systemic chemotherapy:<\/strong> given in metastatic disease or in some cases, before surgery. In general, it does not have a very significant contribution to the patient's survival.<\/li><li><strong>Chemotherapy combined with radiation:<\/strong> applied to patients who refuse or whose general condition does not allow them to undergo cystectomy.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>\u039f \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c2 \u03c4\u03b7\u03c2 \u03bf\u03c5\u03c1\u03bf\u03b4\u03cc\u03c7\u03bf\u03c5 \u03ba\u03cd\u03c3\u03c4\u03b5\u03c9\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bf 2\u03bf\u03c2 \u03c3\u03b5 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf\u03c2 \u03c4\u03bf\u03c5 \u03bf\u03c5\u03c1\u03bf\u03c0\u03bf\u03b9\u03b7\u03c4\u03b9\u03ba\u03bf\u03cd \u03c3\u03c5\u03c3\u03c4\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2, \u03bc\u03b5\u03c4\u03ac \u03c4\u03bf\u03bd \u03ba\u03b1\u03c1\u03ba\u03af\u03bd\u03bf \u03c4\u03bf\u03c5 \u03c0\u03c1\u03bf\u03c3\u03c4\u03ac\u03c4\u03b7. \u03a3\u03c4\u03bf\u03c5\u03c2 \u03ac\u03bd\u03c4\u03c1\u03b5\u03c2, \u03b7 \u03b1\u03bd\u03ac\u03c0\u03c4\u03c5\u03be\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 4 \u03c6\u03bf\u03c1\u03ad\u03c2 \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03b7 \u03b1\u03c0\u03cc \u03cc\u03c4\u03b9 \u03c3\u03c4\u03b9\u03c2 \u03b3\u03c5\u03bd\u03b1\u03af\u03ba\u03b5\u03c2. \u0395\u03c0\u03b5\u03b9\u03b4\u03ae \u03b7 \u03bd\u03cc\u03c3\u03bf\u03c2 \u03b5\u03bc\u03c6\u03b1\u03bd\u03af\u03b6\u03b5\u03b9 \u03bc\u03b5\u03b3\u03ac\u03bb\u03bf \u03ba\u03af\u03bd\u03b4\u03c5\u03bd\u03bf \u03c5\u03c0\u03bf\u03c4\u03c1\u03bf\u03c0\u03ce\u03bd, \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03b1\u03c1\u03b1\u03af\u03c4\u03b7\u03c4\u03b7 \u03b7 \u03c4\u03b1\u03ba\u03c4\u03b9\u03ba\u03ae \u03b5\u03c0\u03b1\u03bd\u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03b5\u03c6\u2019 \u03cc\u03c1\u03bf\u03c5 \u03b6\u03c9\u03ae\u03c2 \u03bc\u03b5 \u03c5\u03c0\u03b5\u03c1\u03b7\u03c7\u03bf\u03b3\u03c1\u03ac\u03c6\u03b7\u03bc\u03b1 \u03ba\u03b1\u03b9 \u03ba\u03c5\u03c3\u03c4\u03b5\u03bf\u03c3\u03ba\u03cc\u03c0\u03b7\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03b5\u03c0\u03b9\u03b8\u03b5\u03c4\u03b9\u03ba\u03ac \u03c3\u03c4\u03ac\u03b4\u03b9\u03b1 \u03bc\u03b5 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":214,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-437","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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