Bladder Cancer and Fulguration: Dr. Sachin Malde (Part 2)

In this video, Dr. Sachin Malde discusses the following:
● Regarding cancers of the urinary tract, in the UK, kidney cancer is the most common while bladder cancer is second.
● Bladder cancer is the 11th most common cancer in the UK, is about 3-4 times more common in men than women, and is more commonly found in caucasian white populations.
● It is rare under the age of 40 and most common in those over 65.
● Smokers are four times more likely to develop bladder cancer.
● Chronic inflammation is known to lead to cancerous changes in cells. Although unproven, this could potentially indicate an indirect link between long-term infection and bladder cancer.
● The most common early symptom of bladder cancer is blood in the urine.
● Many patients with UTI symptoms also experience blood in the urine so their other potential risk factors (age, family history, smoker status) need to be assessed.
● The most effective diagnostic method for bladder cancer is cystoscopy. During the procedure, anything abnormal is removed and sent for diagnosis.
● If the biopsy reveals bladder cancer further treatment and monitoring will be determined.
● During a cystoscopy, if leukoplakia - or white plaque - is present, it should be removed and analyzed. Abnormal cells can sometimes be found beneath leukoplakia and, in a small number of cases, they can be pre-cancerous cells.
● The normal bladder lining is very flat and smooth, by contrast, bladder cancer has a seaweed-like texture.
● Bladder fulguration is used to remove cancer from the bladder. Bladder cancer can penetrate deep into the muscle.
● Chemotherapy is the typical treatment for bladder cancer. If that fails, bladder removal is an option, although radiotherapy can be attempted prior to this.
● Once the bladder is removed, the majority of patients will have a stoma bag or urostomy bag fitted. In select cases, a new bladder can be constructed out of the patient’s own small intestine.
● Dr. Malde’s typically recommends fulguration for patients with leukoplakia.
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Check out the playlist for the entire interview: • Dr. Sachin Malde
Learn about bladder fulguration for UTI from Dr. Philippe Zimmern here:
• What Is Bladder Fulgur...
Learn about cystoscopy and bladder fulguration from Dr. Angelish Kumar here:
• Cystoscopy and Bladder...
Learn more about fulguration for UTI here:
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About Dr. Sachin Malde
Dr. Sachin Malde is a Consultant Urological Surgeon at Guy’s and St Thomas’ Hospital and the HCA London Bridge Hospital, London. He specializes in the management of bladder diseases (urinary symptoms, UTI, bladder pain, incontinence, bladder cancer), benign prostate enlargement, and pelvic floor disorders. He has expertise in the detailed investigation and treatment of male and female urinary incontinence, bladder pain, and recurrent and chronic UTI, and has an interest in new and novel techniques for treating these conditions. He also offers a range of treatments for other renal and urinary tract conditions, including minimally invasive treatments for bladder overactivity, incontinence, complications of previous surgery, fistula, and prostate enlargement.
Dr. Malde qualified from Guy’s, King’s and St Thomas’ School of Medicine in London, and completed his postgraduate research into the evaluation of men with incontinence after prostate surgery at University College London, for which he won the Gold medal for outstanding research. He underwent specialist fellowship training in female, functional and reconstructive urology at University College Hospital London, and has a strong academic interest having published extensively in peer-reviewed journals. He is also a panel member of the European Association of Urology Guidelines panel on male lower urinary tract symptoms.
About Live UTI Free
Live UTI Free is a patient advocacy and research organization. We do not endorse specific treatment approaches, clinicians or diagnostics methods. The content of this video does not provide medical advice. It is intended for informational purposes only. The medical and/or nutritional information is not a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen. liveutifree.com/
Post-production: Melissa Wairimu / kreativlee_