Bladder cancer is one of the most insidious types of cancer. Every year a malignant tumor in the bladder is discovered at around 29,000 people. Recently ill the actress Heidelinde Weis (75, “Lausbubengeschichten”, “Dream Boat”, “Black Forest Clinic”) to the low incidence of cancer. What is the danger of this cancer? A carcinoma of the bladder is an insidious tumor. It can grow for years without adjust grievances and those concerned not notice anything. Why tumors in the bladder and the urinary tract arise, is still unclear. Men are more than twice as often as in women. Scientific studies have failed to show some factors that increase the risk of bladder cancer. The urologist Professor Dr. Stephan Peter explains what are the risks and how to detect bladder cancer.
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“Smoking is a very important risk factor for bladder cancer,” said Prof. Dr. Stephan Peter, Urologist in Darmstadt. Excessive Kaffegenuss intensify that addition. Even passive smoking increases the risk, because the carcinogens of cigarette smoke are filtered by the kidneys from the blood and reach the urine into the bladder, where they damage the mucosa. Experts estimate that about 30 to 70 percent of bladder cancer disease are attributable to smoking.
Another risk factor are certain chemicals – aromatic amines. In industries such as chemical, steel and leather industries, dental technology and in hairdressing bladder cancer is a recognized occupational disease. “That’s why bladder cancer is also a disease of developed countries,” explains the urologist. Today, there are improved security arrangements for dealing with aromatic amines in the workplace. But also in the private life, many people come with the cancer-causing substances in contact. So are chemical hair dyes suspected to increase the risk of bladder cancer. A study of “Öko-Test” showed that many long-term lasting oxidation hair colors in brown and red tones, the carcinogenic aromatic amines. The funds were therefore withdrawn from the market.
Men are affected twice as often to bladder cancer than women. That stems from the fact that men have just smoked more, explains Peter. “But women are catching on there already.” Another reason for the frequent disease of men but was also the enlarged prostate. “Bladder cancer is a cancer of the age. The longer remain the cancer-causing substances in the bladder, the more damage they can do.” In the enlarged prostate in older men also stay longer residual urine, which is also after urination. “Women empty their bladder in old age better”, explains the expert.
The dilemma that causes bladder cancer in the early stages hardly complaints. Most commonly affected are alerted by blood in the urine, which is excreted painless. “This is in 100 percent of cases the first symptom,” says Peter and advises all parties concerned seek immediate medical attention. If the bladder cancer not detected in time, this can affect the muscles and lymph tissue, warns Professor Dr. Peter. If this is the case, can not help a bubble removal and the cancer is fatal.
Whether a suspected bladder cancer is justified, a doctor can determine by analyzing the urine sample and ultrasound, cystoscopy and an X-ray contrast imaging of the kidneys and urinary tract. Approximately 70 percent of bladder tumors are detected at a stage in which they superficially grow and can be surgically removed. Even with chemotherapy in bladder cancer can be easily cured. Is the stage already advanced, the bladder has to be removed. “Then, the patients get a bladder replacement and there is a so-called urostomy down,” explains the professor. The urostomy is an artificial Harnausleitung through the abdominal wall through which the urine is excreted.
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