The presence of a bladder tumor then requires resection through the cystoscope in order to determine the extent of disease and the possible need for additional treatments.
Most bladder cancers are superficial.
In this instance various forms of urinary diversion can be performed in order to preserve the best quality of life possible. It is now possible in both men and women to reconstruct a reservoir from segments of the intestine and attach this reconstructed reservoir to the urethra. This permits preservation of normal urinary function. When this type of reconstruction is not possible, a reservoir can be reconstructed within the abdomen such that no external appliance needs to be worn and the individual only needs to catheterize the reservoir three or four times a day. The Department of Urology has an extensive experience in all forms of urinary diversion, has had good success in preserving normal urinary function and, in some instances, preserving sexual function as well.