Is surgery recommended for bladder cancer in a 75-year-old?

For elderly people aged 75 years, whether surgery is recommended for bladder cancer depends on individual health status, cancer stage and personal wishes. Surgery is an effective treatment for bladder cancer, but its applicability needs to be carefully evaluated in elderly patients.

When considering surgery for bladder cancer in a 75-year-old patient, a comprehensive health assessment is the first step. Doctors will typically consider the patient's overall health, the stability of other related diseases, and the individual's tolerance for treatment. The stage of bladder cancer has a significant impact on surgical decisions. Early bladder cancer, such as Cainsitu or cancer confined to the bladder mucosal layer, may be treated with transurethral resection of bladder tumors (TURBT). For patients whose tumors have invaded the muscle layer, radical cystectomy may be recommended. At the same time, some patients may be suitable for conservative treatment combined with alternative options such as chemotherapy and immunotherapy. It is important to note that the risk of surgical complications increases in older patients, such as cardiovascular complications and difficulty recovering after surgery.

When considering surgery for bladder cancer in a 75-year-old patient, a comprehensive health assessment is the first step. Doctors will typically consider the patient's overall health, the stability of other related diseases, and the individual's tolerance for treatment. The stage of bladder cancer has a significant impact on surgical decisions. Early bladder cancer, such as Cainsitu or cancer confined to the bladder mucosal layer, may be treated with transurethral resection of bladder tumors (TURBT). For patients whose tumors have invaded the muscle layer, radical cystectomy may be recommended. At the same time, some patients may be suitable for conservative treatment combined with alternative options such as chemotherapy and immunotherapy. It is important to note that the risk of surgical complications increases in older patients, such as cardiovascular complications and difficulty recovering after surgery.

When deciding whether to have surgery, patients and their families should fully communicate with the medical team to clarify the risks and benefits of various treatments. It is best to consult with experienced urologists and oncologists in detail to understand the specific process and prognosis of different treatment options. For elderly patients, it is not only necessary to consider the extension of survival, but also to pay attention to the quality of life. It is particularly important to develop a suitable diet and appropriate rehabilitation exercise plan. Maintaining good emotional support and social contact with family and friends is also an important aspect of enhancing the effectiveness of treatment. If you find that you are unable to make a decision or have concerns about the risks of surgery, it is wise to seek a second medical opinion.