Bladder Cancer — Symptoms, Diagnosis & Treatment in Lucknow — Dr. Kanishk Dokania, Lucknow

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🔴 Bladder Cancer

Bladder Cancer — Symptoms, Diagnosis & Treatment in Lucknow

Bladder cancer diagnosis and treatment in Lucknow by Dr. Kanishk Dokania (M.Ch Urology). TURBT, BCG, radical cystectomy. Blood in urine? Call immediately: 0522-666-4444.

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Bladder Cancer — Key Facts

  • Most common sign: painless visible blood in urine — never ignore, even once
  • 75% of cases are non-muscle-invasive at diagnosis — highly treatable
  • Risk factors: smoking (most significant), occupational chemical exposure, chronic UTI, cyclophosphamide
  • More common in men; peak age 60–70 years
  • Early-stage (Stage 0–I) has 5-year survival >90%

Diagnosis

  • Cystoscopy + biopsy — gold standard; direct visualisation of bladder lining
  • Urine cytology — detects cancer cells in urine
  • CT Urogram / MRI — staging and detection of upper tract tumours
  • Chest X-ray / CT chest — distant staging

Treatment Based on Stage

StageTreatmentOutcome
Non-Muscle Invasive (Ta, T1, Tis)TURBT + BCG/Mitomycin instillation5-yr survival: 85–95%
Muscle-Invasive (T2–T3)Radical Cystectomy ± Neoadjuvant chemo5-yr survival: 50–65%
Metastatic (T4/M1)Chemotherapy (Gemcitabine + Cisplatin)5-yr survival: 10–20%

Frequently Asked Questions

Blood in urine (haematuria) is never normal and always requires investigation. It can be caused by kidney stones (most common), urinary tract infection, bladder or kidney cancer, or kidney disease. Painless blood in urine in a person over 40 has a 10–15% risk of being due to bladder or kidney cancer and must be investigated with cystoscopy and CT urogram urgently.
Bladder cancer arises from the inner lining of the bladder (urothelium) — the most common symptom is blood in urine, treated with TURBT. Kidney cancer (renal cell carcinoma) arises from kidney tissue — often found incidentally on imaging, treated with nephrectomy. Both can present with haematuria; a CT urogram and cystoscopy distinguishes between them.
Non-muscle-invasive bladder cancer (75% of cases) rarely spreads and is curable with TURBT + BCG. Muscle-invasive cancer (25%) has a higher risk of lymph node and distant spread (lungs, liver, bone). Staging CT scan determines extent before deciding treatment. After radical cystectomy, 5-year survival is 50–65% for muscle-invasive disease.

📍 Consult Dr. Kanishk Dokania at Charak Hospital, Lucknow

  • MBBS · MS · M.Ch (Urology) — Urologist & Kidney Transplant Surgeon
  • OPD: Monday–Saturday, 10:00 AM – 5:00 PM | Consultation Fee: ₹800
  • Institute of Urology & Kidney Transplant, Hardoi Road, near Safaid Masjid, Dubagga, Lucknow – 226003
  • 📞 0522-666-4444 | Emergency: 24×7

Consult Dr. Kanishk Dokania

🕐 OPD & Contact

Days: Monday – Saturday

Timings: 10:00 AM – 5:00 PM

Fee: ₹800

Emergency: 24×7

📞 0522-666-4444

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