At Home with Dr Christian Jessen 2016 - (Page 228)
The 'pee' word
Bladder and kidney cancers affect around 20,000 people a
year and nearly half die as a result. If you think something's
awry with your urine, see your doctor immediately
ack in 2014, Public Health
England ran a campaign, to
be rerun in March this year,
entitled 'Blood in the Pee'. It had
the tag line 'Be Clear on Cancer'. 'It was a
refreshingly straight talking call to action for
both potential sufferers and practitioners in
highlighting one of the key symptoms of
bladder and kidney cancer,' says Mr Sadmeet
Singh (pictured above), one of the foremost
experts in the field of urology.
Mr Singh qualified from Nottingham
University Medical School in 1993. Just
five years later, he gained the FRCS (Eng)
qualification in 1998 and was awarded a
doctorate for research into prostate cancer
at the Juravinski Cancer Centre in Ontario,
Canada. Appointed as a consultant urological
surgeon at the Nuffield Health Derby Hospital,
Derby Private Health (within the Royal Derby
Hospital) and the Park Hospital in Nottingham.
Mr Singh undertakes radical surgery for
bladder and kidney cancers along with
robotically assisted surgery for prostate cancer.
Let's talk about it
Mr Singh's practice in urology is centred around
patients with prostate, bladder and kidney cancers.
And while cancer and cancer breakthroughs are
often in the news, he believes there is still much
work to be done in educating people.
The good news is that advances in
diagnostics, therapeutics and medical
technology are having a positive impact on
the threat that cancers pose to everyone.
However, some media coverage of what are
often referred to as 'breakthroughs' may not
be all that they seem, says Mr Singh.
'Behind the dramatic headlines, the reality is
often quite different and many of these potential
treatments are still a long way from practical
application,' he says.
What cancer means
Cancer is a prevalent killer in the developed
world and causes 42% of the UK's premature
deaths. But what does it really mean?
'The word cancer describes the abnormal
growth of cells progressing uncontrollably,'
explains Mr Singh. 'Cancers behave differently
depending on the organ. Equally, the same
cancer in one individual may affect another
quite differently. Plus certain killers (because
that's what cancers are) have become curable,
while others are at least controllable.'
Bladder and kidney cancer are the seventh
and eighth most commonly diagnosed cancers
in the UK. Over 20,000 people are diagnosed
with these cancers every year and nearly
10,000 die as a result. Unfortunately, survival
rates for patients with bladder cancer have not
improved significantly over the last 10 years.
Both are more common in men than women.
Interestingly, while men and women have the
same chances of surviving kidney cancer,
women suffer a 10% survival deficit against
men with bladder cancer. This may be due
to differences in diagnosis.
Both types of cancers most often occur
spontaneously rather than with a clearly
demonstrable genetic basis. That said, lifestyle
CHECK IT OUT
keep an eye on their
urine and see their
doctor if anything
unusual comes out,
such as blood
is a critical factor. In particular smoking can
predispose a person to bladder cancer, and
to a lesser extent kidney cancer.
Spot the signs
Both cancers are more curable if found early,
and blood in the pee is a key early indicator.
'Once blood is observed you should see your
GP without delay,' says Mr Singh.
Other symptoms include needing to pee very
often or suddenly; pain while peeing. It can be
tempting to put a new symptom down to an
innocent cause, or wait for it to 'go away'. But
some signs, such as blood in your pee, need
to be acted on promptly, by both patients and
doctors, even if it just happens the once.
'Seeing blood in urine is an alarming
symptom and patients seeing a urologist with
this problem may well have an inkling that a
Table of Contents for the Digital Edition of At Home with Dr Christian Jessen 2016
At Home with Dr Christian Jessen 2016