Multiple TURPS

FormerMember
FormerMember
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Good evening, 

I was diagnosed with NMIBC in April of 2020 and have had multiple TURPS to address the recurrence of single low grade non muscle invasive tumors. I want to say the procedure scheduled for next Tuesday will be my third TURP since the initial tumor was removed. I had one installation of mitomycin after the second TURP but no other therapy. The frequency of the tumors reoccurring is getting shorter. After the initial TURP I was tumor free for 7 months, after that I was tumor free for 6 months, now I have only been tumor free for two months. Today after my cystoscopy the doctor mentioned that we may go to BCG installations after my upcoming surgery.  Any input?

  • Good morning Newbe and welcome. From my experience BCG is a fairly standard  immunotherapy procedure after TURBT to mop up any remainder after tumour removal. I finished 6 BCG in May and found to be clear. The procedure is straightforward mildly uncomfortable and it works !

  • My brother had multiple TURBT for low grade recurrences. At one point there was a G2 & was told would have BCG if a further G2, but luckily not. Eventually he was clear long enough to be discharged. BCG is to deter high grade recurrences but can have unpleasant side effects - so not to be undertaken lightly. However, if you have high grade NMIBC then you do need to consider aggressive treatment to prevent it becoming muscle invasive.

  • Hi Newbe, I had four re occurrences in quick succession after my initial TURBT. After my last one I had a six weekly session of mitomycin and have been clear for two years now. Always a worry though when I go for my 6 monthly check ups!

    Best wishes for your TURBT.

    Luce