The big question is coming up

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I am seeing the consultant next week to discuss the BIG QUESTION. Can I stay on BCG or should I bite the bullet and go for a RC. My treatment since the end of February has led to almost constant discomfort and pain, from mild to excruciating. Coupled with this is constant frequent urination with a very poor quality of sleep, leaving me exhausted. Frequent urination has meant for me being more or less housebound. This is clearly a poor quality of life, so not really sustainable.

So the question is, can the side effects be mitigated so I can have anything like a normal life, or is it better to throw in the towel, and whip everything out whilst in a NMIC state and G2PTA.

In my bones I feel I have reached the end of the BCG road, and the risks of RC now have to be faced to live a life that is worth living.

Is there advice or words of wisdom from the community at this junction of the journey? Cheers Leo

  • Omg! That's a big one.  May I ask how old you are? My husband was 63. No choice re his diagnosis. As he was otherwise healthy he could have a neo- bladder. I won't go into all the ins & outs. On OctFingers crosseder 4th it will be 3 yrs since op & everything that came with it. Obviously regular CT.  And obviously regular cystectomy to check new bladder. It has been a journey but no bags etc. Longer op. LongeFingers crossedrecovering but now almost 3 yrs on. Back to a normal life Fingers crossedFingers crossedFingers crossedFingers crossed

    Kimdav

  • Hi I am 69, pretty fit

  • My husband spoke to a couple of people re: neo bladder & the bag. They will only recommend neo- bladder if fit enough etc. It's rather confusing when surgeons or oncology are talking to you. My husband would would be willing to speak to you privately & if you know of anyone with the bag speak to them. Then you can make a consecutive choice. Obviously uou need to speak to your oncology & you consultant 1st. However you are more than welcome to speak to my husband. I will give you his no: when you are ready. Thinking of you xx

    Kimdav

  • Would not do a neobladder, too much extra plumbing. 

  • Hello Leo, I can’t give you much advice. I am still on the BCG journey. I do believe you will make the correct choice for you. Keep well. Garviv

  • Yes & a lot longer operation & recovery.  It's still good to speak to someone who has had a radical cystectomy.  Which ever route you choose, or not, as the case may be. Wishing all the best,which ever route you decide upon xx

    Kimdav

  • Hi Leo,

    I can't offer any advice I'm afraid, but wish you all the best with your consultation.

    Difficult decision for sure, but I'm sure you will know what's best.

    Take care.

    Trevor 

  • Yes will do thank you very much 

  • Hi Leo1. This is going to be your personal decision taking into account everything about the treatment options. I have taken the decision to proceed with RC due to the uncertainty surrounding and the length of BCG treatment and its likely effect on my mental health and job. I’m 60 with no comorbidities and fairly active so have a relatively good chance of going through a big op at this stage in my life. More importantly it will hopefully give me the ‘closure’ that I need to get on with my life. I don’t think there is a wrong or right option here but it all depends on your personal circumstances/ choices and general health. My best wishes to you whatever you decide.