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Cysto for gross hematuria

My brother recently had blood in urine. After undergoing cystoscopy ,findings r : indication of gross hematuria ,prostrate : minimal obstruction of lateral nodes,bladder : large papillary tumor next to right UO. Ureter : unable to see right UO. Urethra: WNL. Is all tumor cancerous,the size of tumor is around 3. 2 cm . Is this very large . Does this grow post surgery again. Can this be cured or if cancerous does radiation needed. Need guidance and support .more tensed . He is a non smoker but able pass urine with out any problems.Thanks
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Doctor Answers (1) on Cysto for gross hematuria

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Hi 3.2 cm tumour is likely cancerous but the behaviour of cancer varies - smoe are very slow growing and some very aggressive and grow rapidly. The initial treatment is cystoscopy and resection of tumour. This procedure will confirm the nature of tumour and also give a grade and the depth of tumour. Further treatment depends on these findings. If tumour is very superficial, you will need cystoscopy on frequent basis- 3 monthly or 6 monthly or yearly. Some patients might additional chemicals instilled in bladder to prevent the tumour coming back frequently. If deep then you will need radiotherapy or surgery. It can be cured if it has not spread beyond the bladder wall. So please put your mind to rest.
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