How is urethral cancer treated

Ureter cancer - risks,
Symptoms and Treatment

What is ureteral cancer?

The kidneys constantly produce urine, which is transported through the ureters into the bladder and collected there. The fluid is transported from the renal pelvis to the storage organ via coordinated muscle movements in the ureters, which are around 25 to 30 centimeters long and 4 to 7 millimeters thick. If cells degenerate within these tissue tubes (mostly in the mucous membrane), uncontrolled cell growth occurs, which leads to a tumor (ureteral carcinoma).

Ureteral cancer mainly affects older people over 50 years of age. Men are significantly more likely to develop ureteral cancer than women. Researchers believe that the gender imbalance is due to men’s increased tobacco use and occupational risks. Because a major risk factor for the development of ureteral cancer is a longstanding activity in the environment of aromatic amines such as aniline. The substances are contained in paints and varnishes, among other things.

Symptoms of ureter cancer

Ureter cancer causes no symptoms for a long time. The first symptom is usually a small amount of blood in the urine, which, depending on the stage, is clearly visible or can only be detected using test strips. Pain rarely occurs at the beginning. Only in the later course of the disease can you experience burning sensations and pain when urinating.

Many patients ignore these symptoms and only consult a doctor if they experience severe pelvic pain. The ureter carcinoma is then usually at an advanced stage, which worsens the prognosis.

Diagnosis of ureteral cancer

If there is a suspicion of a tumor in the ureter, the doctor will first arrange for a urine test. Blood admixtures can be identified and indications of their origin can be seen.

For further diagnosis, an ultrasound examination and often computed tomography (CT) of the kidneys and ureters are performed. The smallest changes such as ureteral carcinoma can be seen with certainty in the images.

A biopsy (tissue examination) is required to confirm or rule out the diagnosis of ureteral cancer. Using a ureterorenoscope, the attending physician penetrates the tissue change in a ureteral mirror and takes a small sample.

The subsequent examination under the microscope can determine whether the change is benign or malignant and what the origin of the tumor is. It is only possible to initiate targeted therapy with one hundred percent certainty.

Treatment for ureteral cancer

Which treatment is used for ureteral cancer depends on various factors. Above all, the stage (spread) of the disease is decisive for the choice of therapy.

If the cancer is confined to the ureter, the tumor can be surgically removed. In some cases it is possible to treat the new formation gently with a laser without a large incision.

If it is not possible to remove the tumor from the ureter by surgery, the affected ureter, kidney and part of the bladder are removed (nephroureterectomy).

In the metastatic stage, chemotherapy or immunotherapy is necessary.

Treating doctors: Dr. Armbruster and Dr. gardener

Dr. Armbruster and Dr. As specialists in urology with in-depth training, gardeners have extensive expertise and years of experience with cancers of the ureters and drug tumor therapy.

In their group practice for urology in Kornwestheim, they have been treating patients with ureteral tumors of various stages for many years. In the case of cancer in particular, a trusting doctor-patient relationship is very important. That is why both specialists take a lot of time for personal consultation, comprehensive diagnostics and tailor-made treatment, right up to the subsequent check-ups, which are absolutely essential for ureteral cancer.