The awareness campaign on cancer, initiated by esseha.dz for the whole month of February, continues by involving specialists who face this disease daily in all its forms, to enlighten us on its aspects and the behavior that we must take. to apprehend it in good conditions and have the maximum chance of healing at hand.

Today, it is Pr Kamel Adjali, head of the urological surgery department at the Bab El Oued University Hospital, who comes to talk to us about bladder cancer. This type of cancer is important to know because of its frequency in our country and its seriousness.

“Most of the time, bladder cancer is manifested by the presence of haematuria, in other words an abnormal amount of blood in the urine”, indicates the specialist.

Pr Adjali indicates that the person who notices this symptom in him must immediately consult his doctor or a urologist who will carry out an ultrasound examination of the bladder and see if it does not contain polyps and thickenings.

Generally, we ask, in addition to the ultrasound, a uro-scanner or a thoraco-abdomino-pelvic scanner to find out if the disease has not evolved and affected other organs, explains the guest of esseha. dz.

The head of the urological surgery department specifies that “in 80% of cases, the cause of the disease comes from tobacco. But also work in petrochemicals and heavy metals”.
The treatment of bladder cancer, according to our guest, depends on the stage of the disease. If the cancer is at the so-called superficial stage, not affecting the deep organs of the bladder, the treatment will consist of endoscopic resection (scraping) until the entire affected layer is removed. This work will be followed by endovesical chemotherapy to avoid recurrences, which occur fairly quickly depending on the results of the Ana-path.

The second treatment is very aggressive. It involves the removal of the entire bladder and surrounding organs. In men, it is total cystoprostatectomy, followed by an outward ureteral connection. This surgery is completed by chemotherapy. The results of this therapy are satisfactory from the point of view of survival and quality of life, specifies Pr Adjali.

In women, the situation is a little more complicated, an anterior pelvectomy is often performed (removal of the bladder and uterus and sometimes even the ovaries), in addition to drainage of the ureters to the outside so that the person can urinate from the sides through the stomas. Surgery is also followed by chemotherapy.
Our guest advises people not to smoke and to do early detection.