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Bladder Cancer, Urostomy and Impotence

Source: blcwebcafe.org
Topic: Bladder
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Sort Desciption: This document is graciously provided by Roni Olsen for publication by Bladder Cancer WebCaf . ... evidence of cancer cells in either the bladder wall or ...

Content Inside:
At the time Benâ s cancer was diagnosed, our cancer background was woefully inadequate. There was no doubt in our minds that we needed something more than a superficial knowledge of the ramifications of bladder cancer. Fortunately, the University of Colorado (CU) medical library is only ten miles from our home. The card catalogue has the same Dewey Decimal System which we all endured during grade school, as well as computer indexing, and librarians are also available for assistance. Texts on urology and genitourinary disease are grouped together in the same shelf area - just the same as volumes of more familiar topics at the neighborhood library. Publications in current urological and medical journals typically contain the most current information, so we also learned our way around the periodical stacks. We learned much later that new developments and supportive data from current research are frequently delayed from appearing in print due to editing and printing constraints and only direct contact with individual research institutions can offer truly current information. Thankfully, the internet now makes current information much more accessible to both doctors and patients. Through countless hours of cramming from both textbooks and journals, we gradually learned some of the fundamentals of and recommended treatment for bladder cancer. There was an unbelievable amount of unfamiliar material, complete with medical terminology that made speed reading not only impractical but impossible. Fortunately, the library was well equipped with copy machines, so we were able to take copies home. Undoubtedly, our eagerness was fueled by a fervent hope, verging on an obsession, to find a passage somewhere in those texts that would jump right out and irrefutably prove that Ben did not have bladder cancer, and we always stayed longer than planned.

After finding a few library texts we could understand reasonably well, the next logical step for us was to purchase our very own text, to go somewhere between our copies of Common Cures For Common Ailments and Second Opinion. At approximately $40.00 per volume, we felt one text, maybe two, would have to suffice for the genitourinary section of our admittedly meager home medical library. We finally settled on Genitourinary Cancer by Donald G. Skinner, M. D. and Jean B. deKernion, M. D. (copyright 1978) as the most current and informative of the readily available texts at both the CU medical school bookstore and the CU library. It covered the areas most pertinent to Benâ s disease, outlined the same program of diagnosis and treatment as our urologist had presented, and afforded us ready access to material to answer some of the questions that popped up as we went about our daily routines or stared wide-eyed into the dark of night. Granted Genitourinary Cancer is not your typical Louis Lâ Amour recreational reading material and can be quite frightening at times, but it also helped us understand a great deal about bladder cancer and treatment options. Through it all, we learned far more than we thought possible about bladder cancer.

Carcinoma of the urinary bladder is among the ten most common human cancers, and currently occurs at the rate of 63,000 cases per year. Many of these cancers respond well to local treatment, but each year approximately 15,000 individuals will require bladder removal because of invasive cancer. The incidence of bladder cancer is three times greater in men than in women, and constitutes a major portion of the deaths from cancer in the United States, primarily due to late diagnosis and the reluctance of both the physician and patient to use aggressive therapy. Bladder cancer is also the fifth leading cause of death in males seventy- five years of age and older, indicating bladder cancer is primarily a disease of the older male population. As an unwilling exception to these statistics, Ben was a physically fit, non-smoking Mr. Clean when his bladder cancer was diagnosed at the young and tender age of forty-eight. As the overall incidence of bladder cancer has increased over the past decade, it has increased in the younger population as well. ...

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