How should bladder cancer be treated one year after instillation

One year after bladder cancer instillation treatment, individualized treatment is still required based on the condition, including regular follow-up, drug maintenance therapy or further surgical intervention.

Bladder cancer instillation therapy is an important means to prevent tumor recurrence, but a follow-up treatment plan still needs to be formulated according to the patient's specific situation after one year. The following are possible causes and treatment methods:

1. Regular review

Bladder cancer has a high risk of recurrence. Even after one year of instillation treatment, regular cystoscopy, urine cytology, and imaging tests such as CT or MRI are still required. These tests can help detect tumor recurrence or progression early and adjust the treatment plan in a timely manner.

2. Maintenance drug therapy

For high-risk patients, it may be necessary to continue to use drugs for maintenance treatment. Commonly used drugs include BCG or chemotherapy drugs such as mitomycin C and gemcitabine. These drugs can be administered by bladder instillation to further reduce the risk of tumor recurrence.

3. Further surgical intervention

If reexamination reveals tumor recurrence or progression, further surgical intervention may need to be considered. Common surgical methods include transurethral resection of bladder tumor (TURBT), partial cystectomy, or radical cystectomy. Radical cystectomy is suitable for patients with deeper tumor infiltration or multiple recurrences, and urinary diversion surgery may be required after surgery.

4. Lifestyle Adjustment

Patients should avoid smoking, reduce exposure to chemical carcinogens such as hair dyes and paints, and maintain a healthy lifestyle. Eating more foods rich in antioxidants, such as blueberries, broccoli, carrots, etc., can help enhance immunity.

5. Psychological support

Bladder cancer patients may face great psychological pressure. It is recommended that they seek professional psychological support or join a patient mutual aid group to share experiences and obtain emotional support.

One year after bladder cancer instillation treatment, patients still need to closely monitor their condition and combine medication, surgery, lifestyle adjustments and other measures to reduce the risk of recurrence and improve quality of life. Regular review is key, and patients should maintain communication with their doctors and develop a personalized long-term management plan.