Bladder Cancer: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

  • General physical examination – including blood pressure, pulse, body weight, height; further:
    • Inspection (viewing) of the skin and mucous membranes.
    • Auscultation (listening) of the heart
    • Auscultation of the lungs
    • Inspection and palpation of the abdomen (stomach), inguinal region (groin region), etc. [Assessment of possible local infiltration: T4 a/b: Infiltration of adjacent organs (b: abdominal/pelvic wall)]
    • Digital rectal examination (DRU): examination of the rectum (rectum) and adjacent organs with the finger by palpation [assessment of possible local infiltration: T4 a/b: Infiltration of adjacent organs (a: prostate/uterus, vagina); due todifferential diagnoses:
      • Colon carcinoma (cancer of the large intestine).
      • Metastatic ovarian cancer (cancer of the ovary) or endometrial cancer (cancer of the uterus)
      • Rectal carcinoma (rectal cancer)]
  • If necessary, gynecological examination [due todifferential diagnosis: metastatic ovarian cancer (ovarian cancer) or endometrial cancer (uterine cancer)].
  • Health check (as an additional follow-up measure).

Square brackets [ ] indicate possible pathological (pathological) physical findings.