Recently Answered Questions
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What are the next steps for my father's bladder cancer?
Query: Hi doctor,My father, who is 72, was diagnosed with bladder tumor a month ago when he went to the local doctor for the treatment of blood drops in the urine. I have attached the diagnosis report for your reference. The doctors advised to operate it as soon as possible, and the operation took place 10... Read Full »
Answer: Hi, Welcome to icliniq.com. This report (attachment removed to protect patient identity) of high-grade TCC (transitional cell carcinoma) with large tumor with muscle invasion is not a good tumor. At this stage, we need to do a metastatic evaluation to rule out any distant spread of this tumor. Hopi... Read Full »
My husband underwent a kidney scan. What is bladder opacity?
Query: Hi doctor,What is an opacity on the bladder? My husband had kidney stones, recurrent urine infections and minimal blood in urine. He had antibiotics and it got cured. He had a scan and was told that opacity on the bladder. When we consulted a doctor, she said that the report is very vague. Another d... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand the apprehension. Ideally, one cannot comment on opacity while doing an ultrasound scan. The opacity is actually a labelled hyperechoic in the true sense. Any hyperechoic shadow on the ultrasound scan may depict the presence of calcium, foreign body or ... Read Full »
I suffer from urinary bladder carcinoma. Please help.
Query: Hello doctor, This is the biopsy test report of my father which we received today. Please suggest what treatment should be done. Clinical findings: Multiple papillary tumors in the bladder. Clinical diagnosis: T.C.C urinary bladder. Tissue forwarded: TURBT. Macroscopy: Gray white tissue bit t... Read Full »
Answer: Hello, Welcome to icliniq.com. The report is showing transitional cell carcinoma (TCC) of the urinary bladder (cancer of urinary bladder). In biopsy report, there is no comment on muscle involvement. That means we need to know whether the tumor is superficial or deep (involving muscle) also. They ... Read Full »
Does getting a few drops of blood while urinating with no pain need physician examination?
Query: Hello doctor,I use toilet paper to soak up excess urine after going to the bathroom. I run my finger along the base of my penis to help get out the excess after the stream ends. The last couple of times, I noticed some droplets of blood on the toilet paper. The urine itself was not red or discolored... Read Full »
Answer: Hello, Welcome to icliniq.com. You have not mentioned your age which is key. It looks like you are doing urethral milking which is usually adviced for post-void dribble. I suspect it is because of your age, which would mean you are above 50 at least. Anyway, blood per urethra is not normal and nee... Read Full »
Mom had bladder tumor surgery. Doctor suggests TURBT. Why?
Query: Hello doctor,My mother had a bladder tumor and had the surgery two months ago. The pathological result is urothelial carcinoma, low grade (G2), pTa. The doctor who did the surgery said he wants to do the TURBT once more if something is left over. Is this a normal procedure to repeat the TURBT withou... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query. It is indicated to do a TURBT (transurethral resection of the bladder tumor) once again because if there was any residual tumor in the previous tumor site, it had to be removed completely. Even if there is no visible tumor, the scar o... Read Full »
My husband has a large, malleable lump on his left, lower back after cancer of the bladder. Why?
Query: Hi doctor,My husband had stage three bladder cancer. He had surgery, but they could not remove all of the tumor. After undergoing chemotherapy for four months, his bladder and prostate were removed. The cancer had penetrated the bladder wall, and his prostate showed cancer cells also. He felt pretty... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concern. I can understand the anxiety you guys would be going through. However, I would need more precise information for answers regarding possibilities. So kindly follow up with the latest medical records for thorough and specifi... Read Full »
My urinalysis results show high epithelial cells in urine. What should I do?
Query: Hello doctor, I am a 28-year-old female, and I am concerned about my urinalysis results. I read that high epithelial cells in urine are indicative of bladder cancer. Suppose my results show very high squamous epithelial cells. Is it the same thing or different? Is it differentiated when testin... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. High squamous epithelial cells indicate chronic irritation to the urinary tract, which can be due to stone foreign body or schistosomiasis infection. Metaplasia from transitional epithelium to squamous epithelium ... Read Full »
Is hematuria associated with bladder cancer?
Query: Hi doctor, I am a 40-year-old female. Three months back, I started to have frequent urination and a heavy feel in the lower abdomen during urination after sex. I had gross hematuria after urination three times. I consulted a doctor and she gave me tablet Fosfomycin for two days. I took it immediatel... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. You have an unlikely chance to have bladder cancer considering your age and your symptoms do not associate with cancer. Bladder cancer occurs in aged peoples having prolonged smoking habits with painless hematuria. Your symptoms are related to infection and cystitis of ... Read Full »
What are the warning signs of bladder cancer?
Query: Hi doctor,My father found out he has bladder cancer. It was confirmed today with a scope. The doctor said most tumors look like polyps, but in his case, it was different in shape. I have attached an image of what my dad said it looked like when he glanced at it. The doctor also said it looks pretty ... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Thanks a lot for consulting. This picture shows classical, transitional cell carcinoma of the bladder (attachments removed to protect the patient's identity). Management is by resection and staging CT scan, then the decision on the treatment can be taken. Bladder cancer... Read Full »
Kindly examine my father's biopsy report and suggest a treatment plan.
Query: Hi doctor, I am writing on behalf of my father, who is 64 years old. He is a diabetic patient, but his diabetes is completely under control. A few weeks before, he found some blood coming out along with his urine. He consulted a few doctors and went under some tests. He was found to have a tumor in ... Read Full »
Answer: Hi, Welcome to icliniq.com. As the biopsy is showing high grade tumor and involves muscularis propria, this makes a T2 stage. The latest guideline suggests a Cisplatin based chemotherapy followed by radical cystectomy (bladder removal).Pelvic node dissection should be done even if CT scan did not... Read Full »