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The most common type of bladder cancer, called urothelial carcinoma or transitional cell carcinoma, begins in the tissue lining the inside of the bladder. This video will help you understand more about bladder cancer and how it affects your body.
Surgeon, Armine Smith, from the Brady Urological Institute answers questions about bladder cancer, diagnosis and treatment options available.
At the Greenberg Bladder Cancer Institute, cancer specialists work together to provide patients with expert care in radiation oncology, urologic surgery, medical oncology, radiology, pathology and research. These leading minds in cancer discuss each patient’s case in detail to create a custom, groundbreaking treatment plan.
Questions Answered:
1. How does bladder cancer form? 0:03
2. Are there specific risk factors for bladder cancer? 0:27
3. How is bladder cancer found? 0:44
4. What are the treatment options for bladder cancer? 1:27
5. What is the difference between muscle invasive and non-muscle invasive bladder cancer? 2:56
6. What are the different types of urinary diversions? 3:50
7. How is the diversion chosen? 4:28
8. Do all bladder cancer patients need surgery? 4:51
9. Why should I have bladder cancer treatment at Johns Hopkins 5:22 Video Rating: / 5
All cancer fighters make tough choices. Watch Jennifer Balzano’s story of treatment and her road to recovery. Video Rating: / 5
Full Cystolithotripsy resource: https://bit.ly/2GopbIX
Video courtesy of Dennis G Lusaya, MD, and Edgar V Lerma, MD.
Bladder stones, while similar to Kidney stones, have a much different path to formation. From BPH, to UTI’s this is how Bladder stones are made, and how we resolve the issue.
Alaska Robotic Surgery
Laser Surgery
Fairbanks Urology
Urologist Alaska
Incontinence
Bladder Control
Prostrate Cancer Treatment Alaska
Prostrate Cancer Treatment Fairbanks
Male Sexual Health Problems Alaska
Patient Testimonial Video Rating: / 5
Bladder Infections: To Treat or Not to Treat in Older Adults?
“Asymptomatic bacteriuria in long-term care is more common than actual Urinary Tract Infections. About 35 to 40% of men and about 50% of women in long-term care have it—that’s even higher for women with urinary incontinence.”
When someone is aged and frail, the risk of a bladder infection is higher, raising the chances of delirium, hospital admission, or even death.
In this episode of This Is Getting Old: Moving Towards An Age-Friendly World, Jamie Smith, a Family Nurse Practitioner in geriatrics and nursing home care, describes bladder infections and things you and healthcare professionals should know about helping the older adults decide whether or not to treat with antibiotics.
Part One of ‘Bladder Infections: To Treat or Not to Treat in Older Adults?’.
What Is A Bladder Infection?
A Urinary Tract Infection (UTI) a bacterial infection within the bladder. It’s an acute illness that affects the genitourinary system and is commonly known as a “bladder infection” – and means you have an infection of your genitourinary system, so your bladder, kidneys, ureters or urethra with a “positive urine” with a urine sample.
The typical symptoms include: burning sensation with urination, abnormal urgency and frequency in urination. In addition, you may have severe pubic pain or “gross hematuria” (where your pee turns different colors like pinkish or reddish).
Asymptomatic Bacteriuria (ASB), also known as a colonized state. ASB is where you have a positive urine sample, but lack the typical genitourinary symptoms that go along with a UTI. The presence of bacteria in ASB is in quantitative counts of ≥ 100,000 colony-forming units/milliliter (CFU/mL) or ≥ 100 CFU/mL in a catheterized specimen. Thus, in the absence of urinary tract symptoms, asymptomatic bacteriuria is determined by white blood cells in the urine.
“It’s critical to differentiate between UTI and colonized state because when you give antibiotics to older adults, that increases their risk of antibiotic resistance, drug to drug interaction, and increased health care cost.” – Jamie Smith, MSN, FNP.
To Treat or Not To Treat?
Telling the difference between a UTI and ASB is tricky in older adults, especially those in long-term care facilities because localized genitourinary symptoms are far less pervasive in them. Consequently, there have been differences in treatment protocols from place to place regarding a bladder infection.
✔️ Differences in Protocols For Treatment at ER/ Hospital vs Long-term care settings
Whenever a family member requests a patient to go out because they’re confused about whether it’s a UTI or ASB, one of the first things the ER does is check a Complete Blood Count (CBC) and a Basic Metabolic Panel (BMP). Even if the urine has trace amounts of bacteria, let’s say the patient is confused that they can’t tell if there are any genitourinary symptoms, the ER will typically go ahead and prescribe an antibiotic.
✔️ Protocols for Treatment at Skilled Nursing Facilities or at Home
Bladder infection treatments are different in long term care facilities or at home because the staff or family members can tell if the older adult is having symptoms. If the older adult is not having any symptoms associated with the urinary tract, that’s classified as colonized. We don’t treat colonized states because we look at Loeb’s or McGreer’s Criteria, and if they don’t qualify, we don’t treat them because of the risk of harm by giving them an antibiotic.
Risks of Harm in Older Adults
It’s imperative to differentiate between UTI and ASB (colonized state). Because when you give antibiotics to older adults, that increases their risk of Clostridium difficile (C. diff), antibiotic resistance, a drug to drug interaction, and increased health care cost.
Part Two of ‘Bladder Infections: To Treat or Not to Treat in Older Adults?’
Role of Cognition in Treating Asymptomatic Bacteriuria
Remember that treating ASB is not always straightforward. Long term care patients sometimes will have a cognitive impairment, and they can’t always tell you if the symptoms are there.
There are several tools that you can use. The AMDA Watchlist, for instance, is a urinary tract infection flip manual. This one-pager watchlist can be used by staff or family members, and it helps care providers figure out if it’s a UTI or colonized state.
Read the full article at www.MelissaBPhD.com/podcast-blog
Watch this video to learn more about signs and symptoms of UTI and when to treat a UTI with antibiotics.
Transcript: Did you know bacteria can live in the bladder without causing an infection?
Hi, I’m Dr. Amit Desai, in partnership with Washington State Department of Health, I’m here to speak to you urinary tract infections, also known as cystitis or bladder infections.
The most important thing for you to remember today is that you should only take antibiotics for a bladder infection when you have symptoms and a positive urine test.
Bladder infections are very common bacterial infections in the bladder that can cause a feeling where you can’t wait to urinate, a need to urinate more often, and burning when urinating. Other possible symptoms include lower abdominal or flank pain, chills, fever, and blood in the urine.
A bacteria called E coli is the most common cause of bladder infection. But this bacteria can also live in the bladder without causing an infection.
For these reasons, bacteria found in the urine without any symptoms should only be treated in special cases like – women who are pregnant, and in people who are about to have a urologic surgery.
So remember, one way we can avoid unnecessary overuse of antibiotics is to avoid treating a positive test for bacteria when there are no symptoms. Also, it is important not to pressure your provider to prescribe antibiotics.
Thank you for taking the time to listen, I’m Dr. Amit Desai with the Washington State Department of Health. Video Rating: / 5
This home remedies lecture explains the home remedies for UTI or urinary tract infection also known as urine infection.
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Specialists at the Johns Hopkins Greenberg Bladder Cancer Institute (GBCI) outline a basic overview of the functions of the bladder, and the different types of cancer that can affect the bladder. Learn about symptoms and risk factors for the disease, and how the GBCI’s multi-disciplinary clinical approach is moving research forward. https://www.hopkinsmedicine.org/greenberg-bladder-cancer-institute/about-bladder-cancer/
What Are Bladder Stones? Causes, Symptoms & Remedies
Click Here to Learn More about Treatment of Bladder Stones: https://age2b.com/treatment-bladder-stones-age Video Rating: / 5
There’s no easy screening test, there’s no splashy awareness month and there are few clues to its existence early on. But experts urge people to pay attention to the signs of bladder cancer, which will develop in some 63,000 Americans each year.
