Bladder Cancer

Bladder cancer is the 5th most common cancer and is much more common in smokers. UCSF genitourinary cancer specialist Dr. Terence Friedlander reviews the basic biology and pathophysiology of bladder cancer, focusing on methods used to detect bladder cancer, treatment of early-stage disease with therapies administered into the bladder, the role of surgery or radiation therapy in the treatment localized disease, the role of chemotherapy for metastatic disease, and new directions in the field, particularly the role of immunotherapy in bladder cancer. Recorded on 06/24/2014. [9/2014] [Show ID: 28499]
Please Note: Knowledge about health and medicine is constantly evolving. This information may become out of date.
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Пікірлер: 118

  • @user-ji9vm9tq7q
    @user-ji9vm9tq7q3 ай бұрын

    WOW this is the best presentation ever thank you so much, my dad really appreciate this his diagnosis of bladder cancer stage 4 but with this we have no fear at all.

  • @movingloz
    @movingloz9 ай бұрын

    Still relative all these years later. Such an informative video and excellent delivery. Thank you 🙏 so much.

  • @vtxdaryl
    @vtxdaryl Жыл бұрын

    In 2021 I received BCG at Moffitt Cancer Center in Tampa, Fl. In 2022 they ran out of BCG so I’m getting Chemotherapy now.

  • @cancerbetter
    @cancerbetter3 жыл бұрын

    It's great to see how far we have come in the course of just 6 years. BCG studies and immunotherapy treatment studies have really evolved.

  • @joelmaferreira1
    @joelmaferreira14 ай бұрын

    Excellent video

  • @susansnow5277
    @susansnow52778 жыл бұрын

    Best over view on bladder cancer I have seen

  • @as680783

    @as680783

    8 жыл бұрын

    +Susan Snow Agreed. Very good presentation.

  • @lorireese6367
    @lorireese63676 жыл бұрын

    I have the non-invasive urothelial carcinoma in situ. This is the BEST overall, simple explanation I have ever seen. It explained everything so clearly.

  • @Jesus.purple

    @Jesus.purple

    6 жыл бұрын

    Lori O'Donnell Can you tell me how invasive differs? TY

  • @sherryratliff5173
    @sherryratliff51733 жыл бұрын

    He was so informative, Love this Dr. I hope he does more videos,I'm in stage 4 bladder cancer, he help me so much, to understand so many questions , I have . Thank you so much Dr.

  • @umamsh

    @umamsh

    3 жыл бұрын

    How are you doing. My dad's on 3rd stage. We're very worried

  • @abhishekkumar-ck1ji

    @abhishekkumar-ck1ji

    2 жыл бұрын

    Call me sir 7992338262 My father is also in 3rd stage urine bladder cancer

  • @angieolson1582

    @angieolson1582

    2 жыл бұрын

    Sending prayers your way. Headed the same route it seems. So scared. But he did help a lot.

  • @gamingexpert9775

    @gamingexpert9775

    Жыл бұрын

    Abbhi kya khabar ha apka??

  • @mayramoore6313
    @mayramoore631311 ай бұрын

    Great conference and the delivery, outstanding! 🎉

  • @reejaluthra2407
    @reejaluthra24077 жыл бұрын

    very informative. Thanks so much

  • @as680783
    @as6807838 жыл бұрын

    Very educational and informative. Excellent and interesting presentation and delivery. Thanks for uploading for the general public.

  • @diedriksvanstrom483
    @diedriksvanstrom4837 жыл бұрын

    Great lecture, informative and pedagogic! /MedStudent in Sweden

  • @sharonlittle9416
    @sharonlittle94163 жыл бұрын

    extremely helpful I have bladder cancer and I was wonder what I looked forward to. very c]good presentation,Thank You

  • @kosakosa3922

    @kosakosa3922

    Жыл бұрын

    I was diagnosed with papillary carcinoma urotheliales, it was removed by my Dr . The results showed the following : Gender : female Age : 31 Factors: no smoking, no exposure to chemicals ( neither the patient nor her family members) Before the surgery: no blood seen Tumor seize: 12 mm ( CT scan) Papillary carcinoma urotheliales stade p Ta low grade . No BCG no chemotherapy ( the Dr decision of course) ❌ My question: can this tumor come back ? ❌ Can she live with it ?

  • @anila431
    @anila4319 ай бұрын

    Excellent explanation. Very informative. Is it possible that high grade superficial carcinoma spread to nearby lymph nodes?

  • @brianfraser4870
    @brianfraser48702 жыл бұрын

    Very educational thank you

  • @luvaquad
    @luvaquad9 жыл бұрын

    Amber ...I can't reply directly for some reason. I am so darn glad you are getting checked. It's awful our reality found you. You can empower others like us .. I hope you raise your voice loud on all the media possible. We all should imagine your fear and what you will experience. Please consider updating .. know you are among many .. you are one though that has her head up.. not ignoring what it takes to will living. My sincere hope is you will beat it !

  • @koi2909

    @koi2909

    9 жыл бұрын

    luvaquad amber who?

  • @natshain7746
    @natshain7746 Жыл бұрын

    Great job, thank you very much 😁. I have one question : For a non-muscle invading bladder cancer, what is the best chemoptheraputic instillation material or combinaton of materials to use?

  • @beaburkitt
    @beaburkitt2 жыл бұрын

    To this UCSF doctor, please, also search on drinkers of Yerba mate, a plant grown in Paraguay, Uruguay, Southern Brazil and Northeast Argentina. I read that the mate is burnt with flames to give it that Smokey taste. I also read that Uruguay has a high incidence of bladder cancer in men, they drink it all day. Question: is decaf coffee bad for the bladder?

  • @WiktoriaSta
    @WiktoriaSta Жыл бұрын

    very nice! Thank you

  • @navybuff
    @navybuff2 жыл бұрын

    Excellent!!!

  • @tyc9302
    @tyc93027 ай бұрын

    Can you inject chemo chemicals directly into bladder to kill surface bladder cancer cells without damage kidney and other organs?

  • @tarunjain4234
    @tarunjain42342 жыл бұрын

    Nice information

  • @58debjean
    @58debjean6 жыл бұрын

    My father had bladder cancer which was still contained within the bladder. It had not metastisized at all. He had his bladder removed and the doctors "got it all" and he healed well. Within 6 months after surgery, it had metastasized to the abdomen and then he had chemo. He was dead barely 12 months after that! Being a fit person who had no other diseases, he was dead 18 months after diagnosis and that was in 2003.

  • @Jesus.purple

    @Jesus.purple

    6 жыл бұрын

    58debjean So sorry. Thank you for sharing, your sharing could help save someone.

  • @bigpardner

    @bigpardner

    3 жыл бұрын

    How old was he?

  • @phillyspeaks

    @phillyspeaks

    2 жыл бұрын

    So sorry to hear that.

  • @angieolson1582

    @angieolson1582

    2 жыл бұрын

    Truly sorry for your loss. Could they have done anything to stop it from happening? Facing potential bladder cancer too. Seen something on my scan. And scope tomorrow. Pretty scared.

  • @58debjean

    @58debjean

    2 жыл бұрын

    @@bigpardner 73yo

  • @natshain7746
    @natshain7746 Жыл бұрын

    You stated in the lecture that urologist do surgery first (TURBIT) when they should do first chemotherapy. Does this apply to non-muscle invading bladder cancer and the chemotherapy adminnstrated as instilliation (intravesical) not systemic?

  • @scoping2797
    @scoping27979 жыл бұрын

    I am just wondering that Schistosomiasis caused by parasite and like you said, it from contaminated water, but How this parasitic infection will develop cancer cell? can you explain a little more....Thanks

  • @gregswhier2850
    @gregswhier28507 жыл бұрын

    Worked in a rubber factory for 35 years and am a smoker. Cancer surgery twice year for eight years. Retired from Rubber factory and no cancer since!! Still Smoke by the way. Still get checked 1 time per year and no cancer since retirement.

  • @rae0521

    @rae0521

    5 жыл бұрын

    You must have some sort of mental disorder if you choose to continue to smoke after having cancer of any kind.

  • @anjahuman2922
    @anjahuman29224 жыл бұрын

    I am from South Africa . I called my urologist and he informed me that he found two abnormal cells in my bladder. I have no idea what that means. He says he is not worried because the cells is growing slowly. I just need to go for another urine test in 6 months time to check again. I am really very confused.

  • @elizabethburke5322
    @elizabethburke53227 жыл бұрын

    Never smoked a cigarette in my entire life + healthy lifestyle... but succumbed to Bladder Cancer. Of the people I know who have it - none are smokers. I think it's a mistake to give people the impression that they will be unlikely to have lung or bladder cancer if they don't smoke. I strongly believe that there are other environmental factors - weed killer etc. which need to be looked at.

  • @EvangelistAidan

    @EvangelistAidan

    6 жыл бұрын

    If you get cancer from unnatural risk factors then it's definitely coming from genes

  • @imageinkdesign

    @imageinkdesign

    6 жыл бұрын

    Cake Gaming Not genes see Dr John Bergman

  • @58debjean

    @58debjean

    6 жыл бұрын

    The risks are from epigenetics = lifestyle and environment. You can alter bad genes by altering your lifestyle and environment, to be less toxic.

  • @marjann093

    @marjann093

    5 жыл бұрын

    Stress and being overweight is a big risk factor

  • @matthewkashnig3061

    @matthewkashnig3061

    Жыл бұрын

    My dad has it. Just got diagnosed with posterior bladder canc malignant. Marine Vietnam, camp Lejeune etc. Hope he beats this

  • @need2retire543
    @need2retire5432 жыл бұрын

    Are there any new advancements since the publication of this video?

  • @luvaquad
    @luvaquad9 жыл бұрын

    Great video.. He explains what should be told to all exposed to smoking ..parents due to 2nd hand smoke and establishments via the health dept .. if a carcinogen is flushing via the bladder ..stored even longer to us paralyzed people having a neurological bladder ..Than this should be discussed to SPINAL CORD INJURY PATIENTS AND RESEARCHERS . Too many smoke cigarettes , pot and so fourth even after paralyzed. It was also mentioned that urine touching the skin causes a rash much like a baby. I wish he spoke further. Urine breaks down the skin causing pressure sores and all paralyzed sci people are susceptible to it and that causing AD .. that can kill. Undergarments come with no warning yet urine touching the skin of a toxic lined bladder person would need to know this is not good and our bladder should be tested much more than only if a issue. Uti ' s should warrant testing even by urine testing for this cancer at the same time. I can attest as a quad they don't test urine even to medicate a uti because getting urine from us is not simple. To take urine from a bag for sampling has a process not followed . A catheter bag via a catheter stores like a bladder thus where your sample is taken from may expose wrong results. Because states are approving medical and recreational pot I feel this should be evaluated in its affect on the storing organs of waste as well. States may be opening themselves up to non disclosed cancer causing money makers they approve and the fda. I just don't get why cigarettes are legal when organs are susceptible and even those whom just breathed in 2nd hand carcinogenic crap. We made laws against pills and take them off the market when risk is clear yet allow medical cost to rise as cancers do. Botox I wish he covered. I had a Dr improperly say botox affect to my bladder .. The tv commercial on it said the things not told that were risk defined and important info for any patient to make informed choices on . A paralyzed person who can not empty their bladder has a risk of not emptying as well if botox is injected in the bladder lining and this puts us in AD AND ICU if urine won't exit. If botox is a toxin why is it injected and no discussion of it causing cancer to even the dummies doing wrinkles. Toxin by smoke or inhaled fumes ,, what's the difference? Certainly botox is said to last 6 weeks but no paralyzed person can go 6 weeks not releasing urine and catheters affect our bladder as a stimulus and as uti ' s occur so often. Antibiotics are affected by medications ,, what is the affect to the bladder lined with toxic carcinogenic exposures or even our own natural waste stored in the lining of our paralyzed neurological bladders that can't release all urine ? Foods and drinks cause the lining of the bladder to build up toxins like acidic drinks and the paralyzed bladder is affected even more yet many patients with a sci are not educated and I know some awful diets and boozers that are paralyzed. Govt pays when hospitalized for so many disabled so I think it's high time education before cancer takes place vs such a dog gone effort is made to fund raise on all tv stations and to all affected. We tend to ask for money to treat what can be prevented and reward injured by their fund raising efforts because they vaca but change nothing that causes them medical issues including cancers , uti ' s ,AD AND DEATH. Perhaps law should be passed that if you smoke or hold , held a job with carcinogen exposed to any part of your body including skin that a autopsy is mandatory so more will be known and accurate numbers reflect the body's organs affected completely. Lung cancer people that die , are all their organs checked upon death ? We seem to inflate the main cause yet the bladder and intestines , kidneys, etc that hold waste also are affected and perhaps more so due to length they can hold toxins by stones or muscle lining. Smokers you are affecting much more than yourselves and in my view with a mom that is dead and smoked 3 packs a day around me , I think you guys dictate others fate just as murders do. Imagine if like this dr states , if no one smoked the next 50 years. Attack cancer by a choice vs a reaction.

  • @amberdoesitmatter6019

    @amberdoesitmatter6019

    9 жыл бұрын

    I am also paralyzed waist down, have a super pubic catheter and having the same issue. They just found a lesion in my bladder I go for biopsy next friday. I am absolutely terrified.

  • @jackiep9696

    @jackiep9696

    9 жыл бұрын

    amber doesitmatter I also wear Foley catheters all the time ...basically like you but mine still comes out! I hope your exam was good news!!! I was DX with bladder cancer in 1/2014 and it is a nightmare ... Looks just like on the video ..my doc said it is basically a nuicenses cancer that just keeps coming back then you get rid of it for awhile and then back i5 comes.... Thank God you are going to be scoped in bladder regardless if you are cancer free great get checked then once a year!!

  • @kosakosa3922

    @kosakosa3922

    Жыл бұрын

    I was diagnosed with papillary carcinoma urotheliales, it was removed by my Dr . The results showed the following : Gender : female Age : 31 Factors: no smoking, no exposure to chemicals ( neither the patient nor her family members) Before the surgery: no blood seen Tumor seize: 12 mm ( CT scan) Papillary carcinoma urotheliales stade p Ta low grade . No BCG no chemotherapy ( the Dr decision of course) ❌ My question: can this tumor come back ? ❌ Can she live with it ?

  • @marwawaregh3992
    @marwawaregh39928 жыл бұрын

    great it is very educational video , God bless you

  • @czar14617
    @czar146177 жыл бұрын

    thank you doctor and god bless you -iam just going in for 6 tratments of bcg ----i pray to god that will be it -an all i have too do is get checked every 3 mos -you never said how fast it grows if bcg is not done -can you say

  • @kosakosa3922

    @kosakosa3922

    Жыл бұрын

    How are u now ?

  • @zimjun7
    @zimjun79 жыл бұрын

    I have NONE of these risk factors! I am female and was 63 when diagnosed with the more common transitional uretheral carsinoma. No one knows how I got it! The only thing that I can think of is when I fell (nice) on a slippery floor and I had bad pain straight up through me. Later I doubled over while doing yard work for a minute, then all was well until a year later and I found a blood clot in the bathroom. Went to a urologist and there was blood in urine by then. Felt fine, though. Had cystoscopy and the rest is history. It has been staying at grade one and stage one. The doctor said that it was not caused by my fall. It was only once. My upper cervical chirpractor didn't believe it was the cause either. Well....I guess it's just a deep dark mystery then......

  • @pilielvirabaena2461

    @pilielvirabaena2461

    8 жыл бұрын

    m

  • @zimjun7

    @zimjun7

    8 жыл бұрын

    zimjun7 ....And JUST for the record, I never smoked! And I don't color my hair. Don't have to.

  • @angieolson1582
    @angieolson15822 жыл бұрын

    He was informative. I am going tomorrow Wednesday 4-20-2022 for the scope and biopsy. I had a massive bleed in right ureter massive clots. Whole bit. 24 hours. CT Scan shows a mass. I smoked from October 2008 to November 2018. My parents at age 10 put turpentine on genital area for 2 days. Since I have felt sick and been bad health all the 31 years since. Pretty scared for sure. I truly pray more is learned about how to heal this cancer in upcoming studies. I pray also more people stop smoking AND vaping. Wish I had never started. But how would someone allow their tissue to be studied? I did see the scan and you can see an area of concern. So perhaps they can learn stuff? I want to help somehow. Also can anything ELSE grow in bladders... or is it always a tumor?

  • @angieolson1582

    @angieolson1582

    2 жыл бұрын

    Aberdeen south Dakota

  • @SuperWilbur77
    @SuperWilbur7711 ай бұрын

    I agree. So many diseases are blamed on smoking. And I’ve known so many ppl that have had cancers that have never smoked a day in their life. Smoking is , of course, not a good habit , but I often wonder if they stamp smoking over everything they don’t know the cause of. However, this doctor makes sense especially when it pertains to genetics, etc

  • @maggieotsuka1266
    @maggieotsuka12666 жыл бұрын

    They say that Dr Sims Didn't have a chance it was to far advanced

  • @dorcasmuteteke9600
    @dorcasmuteteke96002 ай бұрын

    schistosomiasis is also common in some areas in tropical countries (Sub-Saharan Africa)

  • @Em6726
    @Em67265 жыл бұрын

    Had a growth removed and "cleaning" of a narrow ureter. Had the catheter in for like 6 days. Is it common to have blood in the urine after a surgery like this? Shouldn't any coterizing eliminate any bleeding? How long before the blood in my urine goes away? It's not dark red but more like a rose pink.

  • @sanughosh2021

    @sanughosh2021

    4 жыл бұрын

    Same here with my father

  • @Evilrolfharris
    @Evilrolfharris9 жыл бұрын

    Alcohol is also a mitigating factor because it contributes to night time bladder stress, sleep disturbances and toilet trips.

  • @swizzleproxi4810

    @swizzleproxi4810

    7 жыл бұрын

    Simon Attwood yeah as alcohol dries out the kidneys and makes the liver work harder

  • @Jesus.purple
    @Jesus.purple6 жыл бұрын

    TY ❤🕇

  • @ognjenradovic2265
    @ognjenradovic22656 жыл бұрын

    Can teens get it

  • @Evilrolfharris
    @Evilrolfharris9 жыл бұрын

    Risk factor: Long term stress, elevated cortisol and poor sleep quality.

  • @MrMonakat

    @MrMonakat

    6 жыл бұрын

    en.wikipedia.org/wiki/Alcohol_and_cortisol

  • @robertsperry7317

    @robertsperry7317

    3 жыл бұрын

    No. 1 factor is smoking.

  • @kosakosa3922

    @kosakosa3922

    Жыл бұрын

    I was diagnosed with papillary carcinoma urotheliales, it was removed by my Dr . The results showed the following : Gender : female Age : 31 Factors: no smoking, no exposure to chemicals ( neither the patient nor her family members) Before the surgery: no blood seen Tumor seize: 12 mm ( CT scan) Papillary carcinoma urotheliales stade p Ta low grade . No BCG no chemotherapy ( the Dr decision of course) ❌ My question: can this tumor come back ? ❌ Can she live with it ?

  • @SuperJneil
    @SuperJneil4 жыл бұрын

    Hey Jax. Hey i been listening to chat on off. Im very sorry to hear the news about Dad. Comment.on this and we can tslk ok?

  • @leecurtis6354
    @leecurtis63543 жыл бұрын

    A car's tailpipe is a few thousand times bigger than a cigarette

  • @mrskyuubimart
    @mrskyuubimart4 жыл бұрын

    Idk what this means, I'm under 11-

  • @xflyingtiger
    @xflyingtiger2 жыл бұрын

    If not smoking, what about living in a high air pollution area for the first 45 years of life.

  • @jeannedowney839
    @jeannedowney8393 жыл бұрын

    It started tonight.. blood ..every time I pee... 2 /3 21

  • @joycaminaderufino9354
    @joycaminaderufino93547 жыл бұрын

    I never have a bladder cancer because I eat a lot of fruits and The the very very first day at 2016 I went to the hospital and the nurse told me I'm admited at the hospital and I live 3 days in the hospital after 3 days the doctor told me I can go home now because I'm now ok and I eat a lot of fruits in my house because I don't want to be sick again after 2016 I don't eat fruits at 2017 and I cost diarrhea and we go to the hospital near our big house and the doctor said I will be admited an we go to the farest hospital near my school I'm still grade 2 and we do at the hospital is I lay down in the bed and the doctor said I'm now ok and they check my poop and the doctor says my poop is ok now and she said I don't have blood in my poop

  • @rickyholloway8220
    @rickyholloway82205 жыл бұрын

    Chemo, not as toxic as you think? What the hell!

  • @jpf7007
    @jpf70077 жыл бұрын

    He made for every ailment a cure and from these cures He made the blackseed. This is supported by the prophetic narration on the authority of Abu Hurairah that the Prophet said “Use the black seed, because it contains a cure for every type of ailment except death.”

  • @sophial.5270

    @sophial.5270

    6 жыл бұрын

    Thanks for the good reminder. May Allah bless you.

  • @carlalouise2459

    @carlalouise2459

    6 жыл бұрын

    MA

  • @anitahendricks
    @anitahendricks2 жыл бұрын

  • @chowfun1976
    @chowfun19767 жыл бұрын

    Girl, you ain't heard? Oh, word? Girl, when?