Patient: You took 4 places after the invention of bloody urine

Patient from Chongqing (part-time younger woman): After visiting four places, I discovered blood in my urine. The blood in the urine is in clots. There is a feeling of pain. Today, I had a color Doppler ultrasound which showed a suspicious mass on the right side of the bladder, measuring 2.4x1.4 cm. The surface is not smooth, and the base is broad. It appears as a low echo signal with uneven distribution, and does not move with changes in position. CDFI: No obvious color flow signals were detected within, but strip-like black and white signals were detected at the base. This suggests the presence of a space-occupying lesion.

Doctor Liu Wangxi: Based on your clinical symptoms and the results of the ultrasound, it can be preliminarily determined that you have a bladder tumor. However, there are many types of bladder tumors, both benign and malignant. In your case, the possibility of having malignant bladder cancer is relatively low. For such situations, the standard procedure involves undergoing a CT scan followed by a cystoscopy with biopsy. The surgical approach will be decided based on the results of the CT scan and biopsy. If these tests indicate an early-stage and low-grade tumor, minimally invasive surgery via the urethra (TURBT) can be performed. If the tumor has infiltrated the muscular layer of the bladder, then a total cystectomy may be required, followed by the creation of a new bladder using intestinal tissue. Currently, the tumor is generally removed directly through minimally invasive surgery via the urethra, along with the removal of muscle tissue around the tumor for pathological examination. If the muscle layer has been infiltrated, further radical surgery for bladder cancer may be necessary. If the pathology shows highly malignant squamous cell carcinoma or adenocarcinoma, then a radical cystectomy for bladder cancer will also be required. Regardless of the type of surgery, the skill levels of different hospitals and doctors vary. Speaking for our hospital, these surgeries are routinely performed with very high success rates.