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Symptoms, Diagnosis, and Treatment

Bladder cancer is one of the most common urologic cancers, especially in older adults and smokers. At our urology clinic in Tbilisi, we provide expert diagnosis and treatment for bladder cancer, following the latest international guidelines.


What Is Bladder Cancer?

Bladder cancer starts in the inner lining of the bladder and may grow deeper into the bladder wall over time. Most cases are transitional cell carcinoma (urothelial cancer).


Who Is at Risk?

  • Men over age 55

  • Smokers (tobacco is the leading risk factor)

  • Workers exposed to industrial chemicals (e.g., dyes, rubber, leather)

  • Patients with chronic bladder inflammation or infections

  • Family history of bladder cancer


Warning Signs and Symptoms

  • Blood in urine (hematuria) – the most common and often painless symptom

  • Frequent urination

  • Burning sensation during urination

  • Urgency or difficulty urinating

  • Pelvic pain or lower back pain (advanced cases)


Diagnosis

We offer complete bladder cancer work-up:

  • Urinalysis and urine cytology

  • Cystoscopy – a camera-based examination of the bladder

  • Bladder biopsy – often performed during cystoscopy

  • CT urography or MRI – to assess tumor size and spread


Treatment Options

Treatment depends on cancer stage, grade, and whether it's non-invasive or invasive:

  • TURBT (Transurethral Resection of Bladder Tumor) – standard first-line procedure

  • Intravesical therapy (e.g., BCG or Mitomycin) – for non-muscle-invasive cancer

  • Radical cystectomy (bladder removal) – for advanced or recurrent tumors

  • Chemotherapy or immunotherapy – in advanced stages or as adjuvant treatment


We offer ongoing surveillance and follow-up plans for recurrent bladder cancer, which is common.

📞 Book a urology consultation in Tbilisi today: +995598257727. Early detection can save your bladder and your life.

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