Bladder Cancer

the management of bladder cancer can be considered a real success story with so much finances being invested in the early detection efforts (hemeturia clinics) within the NHS, but are we really treating the disease the properway? though our main effort is to conserve the organs (i.e. the kidney and the bladder) but the approach being persued to controll the disease i.e. telescopic removal of the tumour through the urethra is less than ideal. we are actually many a times removing the tumour in piecemeal fashion raising the possibility of tumour cells being ejected into the bladder and then implanting at other sites in the bladder causing recurrence of disease at some other site in the bladder which can be considered as a failed operation in terms of acieving a cure though I must confess that tumour development can be a field change i.e. the lining of the bladder becoming unstable and producing tumours at various sites simultaniously or sequentially. a standard procedure capable of completely excising the tumours with a clear margin i.e. removing intact tumour is yet to be develped.