Bladder and kidney tumor therapy

Bladder and kidney tumors, along with prostate cancer, are among the most common tumors of the genitourinary tract. Particularly in the case of advanced tumors, close cooperation between various disciplines is of great importance in order to provide our patients with the best possible clarification, therapy and follow-up care. The treatment of renal cell carcinoma and urothelial carcinoma of the urinary bladder depends primarily on the tumor stage at the time of diagnosis.

Kidney tumors

Renal tumors are often discovered incidentally during the workup of nonspecific symptoms in the abdomen.

Usually, kidney tumors are treated by surgery (kidney-preserving partial resection with the Da Vinci surgical robot, total kidney resection). Small renal tumors, after the level of aggressiveness has been determined by biopsy, can also be monitored regularly or treated by radiofrequency ablation or cryotherapy.

If offshoots are already present, either surgical removal of the offshoots or, if this is not possible, a system therapy (so-called “targeted therapy” or immunotherapy) is performed after interdisciplinary discussion in our Interdisciplinary Uro-Oncological Tumor Board.

Bladder tumors

Bladder tumors are usually detected by blood detection in the urine or micturition symptoms. Primarily, the tumor is always removed by scraping out the tumor through endoscopic surgery through the urethra (so-called. transurethral resection (TUR)).

If the tumor does not grow into the muscles of the urinary bladder, it can be controlled with regular cystoscopy, possibly in combination with local immunotherapy (so-called BCG instillation therapy).

If a muscle-invasive tumor is present, an interdisciplinary evaluation is always performed in our Uro-Oncological Tumor Board. As a rule, chemotherapy should be the primary treatment, followed by removal of the urinary bladder and pelvic lymph nodes with urine diversion via an artificial outlet or a so-called neobladder constructed from intestine. In favorable cases, a tumor that has grown into the musculature can also be treated in a bladder-preserving manner by means of transurethral resection followed by radiochemotherapy.

If there are already offshoots, chemotherapy or immunotherapy is performed after interdisciplinary discussion in the uro-oncological tumor board.

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