Looking for other "older" ladies who have had surgery for urethra or bladder cancer

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Hi, my Mom has been diagnosed with Stage 4 Urethra cancer. She has had chemo, radiation, brachytherapy, and now immunotherapy. There has been no spread except from the urethra to the bladder, but doctors consider it all the primary tumor. No lymph node involvement. Recent MRI and CT Scans show the tumor is shrinking and no new tumor activity. However, they still want to do a major surgery called an anterior exenteration, where they will remove her bladder, uterus, and a portion of her vagina and reconstruct the vagina and create a urostomy. She currently has bilateral nephrostomy (urine drains from her kidneys to external bags) tubes but is having increased infections so they don't want that to be a permanent solution. 

Anyway, she is going to be 80 in October and is worried about recovery from such a major operation. She is a very young 80...exercises almost every day, is out and about trapping/neutering/releasing cats (yes....a cat lady, haha), socializes with friends, family, etc. She is a busy bee.

She would love to hear stories of other older ladies who have been through something similar. Does anyone here fit that description? Or, even you younger gals, if you have advice, we would welcome it!

Thank you,

Sandra

  •  . Hi Sandra. Sorry I can't help with your question but let me welcome you to this friendly group. I am sure one of the ladies will be along with some help when they pick up your post. Best wishes.

    Best wishes to All,   rily.

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  • Hi  

    I am a bit younger than your mum-I’m 62-but I have had a total pelvic exenteration for a different cancer, and this included losing my bladder and all of my vagina, so I can understand that you’d be concerned about the surgery and recovery. 

    What I would say is that your mum being fit and young for her age is the most important factor here. The recovery can be hard, but doctors would not considering doing this surgery unless they felt your mum could get through it and recover. 

    I have a urostomy, and also a colostomy as I had my rectum removed too. I didn’t have my vagina reconstructed-I didn’t see the need to go through the extra surgery required to do that when it wasn’t a necessity, so I would say it’s perfectly possible to have all of your vagina removed and not have a reconstruction. Having a urostomy means it is much easier to manage than nephrostomy tubes and I personally have not ever had an infection in the 4.5 years since I had my surgery.

    I’m happy to answer any of your questions if you’d like to know more.

    Sarah xx


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  • Hi ByeByeCancer,Welcome to the group.It’s good that your mum is fit as that will help her through.I didn’t have the same surgery but had bladder removal almost 5 yrs ago and have a urostomy.I’m happy to help if I can.Jane xx

  • hey my mum had her bladder, uterus and part of vagina removed and now has a urostomy like they are suggesting for your mum. she was 71 when she had this done. she has done really well with the surgery and copes perfectly with the urostomy. unfortunately now she has just recently been diagnosed with brain mets (which is very rare so dont want to worry you that its a common thing as it absolutely isnt). i am jsut wondering what immunotherapy your mum had as we are exploring that for mum as shes not really well enough for any futher chemo at the moment.

  • Thank you for responding! I'm so glad to hear your mom did well with her surgery and urostomy. I'm sorry to hear about her brain mets. :( My mom has been on a three-week rotation: week 1 is Keytruda + Padcev, week 2 is Padcev only, and week 3 is off. She is now off of all of that to prep her body for surgery but it seems that those infusions did a good job of shrinking the tumor and keeping it from spreading. Her side effects have been a hoarse voice, itching (all over) and some fatique.

  • Thank you for replying and sharing your story! My Mom has had several infections with her nephrostomy tubes so hearing that you haven't had any with your urostomy is encouraging! 

    We plan on asking her doctor some questions about the planned vagina reconstruction. My mom feels similar to you in that removing it might be just fine without needing to rebuild it.

  • I haven’t had any infections post op either but had them all the time before surgery.
    There is advice and support here to help your mom through the surgery.Love Jane