My husband (age 65) blood trace urine Jan CT scan Feb then TURBT April 19 - consultant phone conversation 8 weeks later confirmed 5cm tumour surface ie non muscle invasive. TA G2. No treatment discussed (had though she might suggest BCG) and we had been told pre op they would do a ‘wash’ at end of TURBT but when we asked during June call if this was done she referred to notes and said no. Don’t know if this is relevant but I will get it out there that he arrived at 7am but was last in day to be operated on - late afternoon and was in for 2 nights. Catheter issues for next 6 weeks but that’s another story. We were told that he would have a cystoscopy under general in mid July. Passed all pre ops late June, no date for op. We chased by email then again on Mon this week and they rang straight back (guessing a cancellation) said could do this Friday ie today. So he came round from op -late afternoon it took 1.5 hours and in recovery area the surgeon told him regrowth and removed tumours. He hardly took it in as was drowsy and I wasn’t with him as had to sit in another waiting area and when I finally got to speak to someone was told he would be staying in and he was moved to a ward. He told me about the tumour regrowth - I really feel the surgeon should not have spoken to him alone and in a state of drowsiness. I spoke to senior nurse (as you may imagine quite upset though kept this from my husband) and asked for the surgeon to visit both of us to give a little more of an explanation. In a nutshell He said there was a lot to remove and as he hadn’t done the TURBT had read notes and was surprised to see this. I said about short notice getting op date and he said lucky we got that as had it been left any longer… so I feel thank goodness we chased So, we had a pre arranged consultant date of Aug 31 - the surgeon said the histology will determine what next. We knew recurrence is not uncommon but we’re shocked at the speed Can anyone offer words of wisdom, experience? Feeling shocked at home alone digesting and know my lovely husband will be feeling same in hospital bed. Thank you Caro
Dear Caro, my Oh's was G3 pTa, he had a whole bladder full of tumours by the time he got seen after a choose'n'book delay fiasco. Had a TURBT at which they did get them all out, 6 BCG, wait 6 weeks for it to settle, cystoscopy to check. Fortunately that was a GA one due to the urethral strictures he has. So he woke up to find it had changed into a second TURBT as there was already a new papilloma. He got offered more BCG, bladder and all removal, or Mitomycin. He didn't want to lose his bladder if avoidable, obviously till you get the histology you don't know what the options will be, but my OH went for the Mitomycin which has worked fine, clear for four years now.
Sending hugs, it is lonely I do agree from my experience when you are by yourself thinking all the what-if's and your loved one is in the hospital. Think about telling PALS how you feel about the bad communication practice.
Best,
Denby
Dear Denby. Thank you so much for your response - the information and the virtual hugs - am lucky to have good friends and children (adult ones :-). But to hear from someone who has lived the experience is so welcomed. Will google Mitomycin so am a little educated for when the discussions come. May I ask Which hospital was your husband receiving treatment at. We are Bart’s Trust so London Hospital at Whitechapel then Whipps Cross Caro x
Hi Veritas12 . Sorry to hear your husband has had a recurrence. It is not unusual for us to chase up appointments. Appointments for procedures etc. are usually arranged by admin rather than the doctors and you can never read anything in to the timings, sometimes there are cancellations and they fit people in at short notice. Mitomycin is a chemo treatment and administered in the same way as BCG. When the results are in you will then know the way forward. Best wishes.
It was Bedford to begin with, I actually skipped the beginning which was years and years ago. Getting-up-in-the-night drove him to the GP who sent him there. Bedford had him in to remove under GA what they termed 'seaweed like growths' which turned out 'more numerous than they had thought' resulting in him being discharged with a catheter, in agony, passing a lot of blood. They never mentioned cancer, I didn't know bladder cancer was a thing, we returned to our normal busy lives of work, teenagers, church etc and there was NO follow up for it.
So only after retiring, moving and the getting-up-in-the-night got too annoying again did the new GP send him to Sheffield.
Oh the dear old London and [not quite so dear] Whipps X! Grew up in London/Essex edge, used to go to the London Hosp Dental School with my sister for our braces, OH went there for his epilepsy and I went with him until we moved to Bedford and they signed him off to GP. Both our Mums had their broken hips mended at Whipps, not so great years back, but hope Urology is good for you.
Best, Denby
As you say, recurrences are not uncommon, but it is a shock when it happens. My brother had frequent recurrences over a few years, but luckily all sufficiently low grade not to need any treatment other than removal. Eventually he was clear long enough that they discharged him. My BC was a different path.
When you get the path report, the consultant will advise what appropriate options there are for treatment. be sure to ask pros & cons, risks & benefits, long term prognosis of each option. That will help your husband make any necessary decisions. Best wishes.
Thanks so much for your response. Husband was discharged today and we were given a pamphlet with names of all nursing team under the consultant along with contact number for administrative staff for urology team and consultant secretary and 2 emails addresses. This is Bart’s health trust. Whipps cross where the 2nd TURBT took place. previous one was London hospital again part of Bart’s trust and zilch from them after the TURBT and TWOC. No names contact emails. Not even a leaflet about leaving with a catheter in place. Such a difference
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