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About the clinic: I.M. Sechenov First Moscow State Medical University (Sechenov University) is the top medical university in Russia. Its history begins in 1758 as the medical faculty at Imperial Moscow University. For over two centuries Sechenov University has been a pioneer in the Russian healthcare system. A lot of outstanding physicians and scientists, who contributed significantly to the progress in medicine, worked at the University. In 2018, Sechenov University celebrates its 260th Anniversary.
About the clinic: Federal research and clinical center for specialized types of medical care and medical technologies of the FMBA of Russia (FSCC of the FMBA of Russia) is one of the largest multi — specialty medical institutions in Russia for providing specialized medical care, combining a consulting and diagnostic center and more than 40 departments.
About the clinic: Clinical hospital No. 1 (Volynskaya) of The Presidential administration of the Russian Federation is one of the oldest institutions of Kremlin medicine, which itself has more than 400 years of history. In may 1600, by Decree of Tsar Boris Godunov, a pharmacy order was created to "protect the health of the sovereign". The hospital began with a small reception House adapted for a medical institution Near the dacha of I. V. Stalin.
About the clinic: Yusupovskaya hospital is a continuity of traditions in the treatment of patients in combination with the latest achievements of modern scientific and evidence-based medicine and advanced expert experience. The Yusupov hospital carries out scientific activities — on the basis of the clinic there are scientific and practical centers aimed at solving patients' problems in a comprehensive manner.
About the clinic: National Medical Research Center for Obstetrics, Gynecology and Perinatology was established as the Union Clinical Scientific-Research Institute for Obstetrics and Gynecology in 1944, as an important part of the policy of demographic revival of the country after the World War II, and since then is the leading scientific, medical and academic institution of Russia in the fields of obstetrics, gynecology, perinatology and reproductology. The Center is the major basis for development and implementation of governmental programs on maternal and child healthcare; producer of the clinical protocols, guidelines and standards of care; coordinator of integration of regional medical facilities.
About the clinic: P.Herzen Moscow Oncology Research Institute was founded on February 12, 1898. It became the oldest scientific and practical institution in Europe and the first oncology institution in Russia, where the foundations were laid for the Russian science and oncology services. The Institute is a recognized leader in providing high-tech medical care to patients with various types of cancer. The Institute performs a unique surgery, uses modern high-tech methods of diagnostics, comprehensive treatment and rehabilitation of patients.
Bladder cancer is one of the few cancers with known risk factors. The probability is increased by working with aniline dyes, contact with gasoline combustion products, chronic inflammation of the lining of the bladder (cystitis), the presence of other cancerous tumors, and genetic predisposition. Smokers get sick 5 times more often, with the experience of smoking, the risk increases. The peak incidence is between the ages of 50 and 80.
Bladder tumors are characterized by slow development and no symptoms in the early stages of the malignant process. You can suspect bladder cancer when blood appears in the urine, unpleasant sensations during urination and increasing calls to it. Such complaints should be a reason for immediate contact with a doctor who will reveal oncopathology in a timely manner, which will significantly improve the prognosis of treatment.
– Sonic examination of pelvic organs.
– Performing excretory urography.
– Invention of general urine analysis, as well as urine examination on cytology.
– Taking blood tests for cancer cells.
The method of treating bladder cancer is selected individually for each patient, taking into account the stage of oncopathology, the general condition of the patient, the presence of metastases and comorbidities.
Transurethral resection of bladder cancer (TURBT) . With transurethral resection of the bladder, the tumor is removed through the urethra endoscopically by an electrical loop. The bladder walls are then treated with a ball electrode to stop bleeding and completely destroy the tumor cells. Extract – 2-3 days after surgery.
Laser enucleation of bladder cancer (ThuLEBT) . A technically laser operation is similar to a TURBT. A tool with a diameter with a ball handle rod is started through the urethra under sparing spinal anesthesia. After cutoff, the tumor is removed with special forceps along the lumen of the endoscopic instrument. advantage: the laser carefully cauterizes the vessels and has a good hemostatic effect.
Bladder removal surgery (cystectomy) with reconstruction . In deep germination, when the tumor strucks the deep muscle layers and the surrounding organ fat, cystectomy – removal of the bladder is indicated. When affected by metastases of lymph nodes and adjacent organs, cystectomy is accompanied by their removal. Cystectomy is performed laparoscopically, without a cavity incision. Endoscopic equipment is started through several punctures in the abdomen. After removal of the organ, plastic is performed – an artificial bladder is formed from the intestine (intestinal conduction) or uretherocutaneostomy is carried out.
Partial cystectomy is the removal of part of the bladder. The readings are performed in a number of modifications.