Hello. This is my first post here. Following a month of blood in urine, my husband has had tests (blood tests,CT scan and cystoscopy a couple of days ago). He was told a couple of days ago, that the cystoscopy has shown a solid 3 cm lesion arising from behind the intra ureteric bar extending into the bladder, plus multiple small papillary lesions on left lateral wall, with the appearance of bladder TCC.
He has to have the larger tumour removed (in the next 10 days) and will have a CT scan early next week to check for spread.
This has of course come as a shock (as I appreciate most will feel in this situation). My husband turned 60 a few weeks ago. He was also diagnosed with young onset Alzheimer’s last October.
We cannot have the same in-depth conversations that we once had. I am just trying to get my head around what to expect over the coming weeks (I know that this is probably impossible to say).
I would appreciate any shared experiences from similar situations please. I have to take the lead for us but I am not entirely sure (apart from Google), what to expect.
Thank you x
Hello Firefly and welcome to the group although sorry hear about your husband. Bladder cancer is far more common as you may imagine and be aware that bladder cancer can be treated successfully. There are many of us here to tell the tale. The procedure your husband is likely having is called a TURBT (trans urethral resection of bladder tumour). It sounds worse than it is. Usually done in day surgery under GA, but prepare for an overnight just in case. Biopsies will be taken and the results determine the next step. There is usually a few weeks wait for results. The body CT scan is to rule anything else out and is routine practice. Lots of help and advice here so feel free to ask anything. Best wishes.
Hi Firefly . We know it's hard not to Google but we try and steer people away from it as there is a lot of out of date and incorrect information out there. Stick with reputable sites such as MacMillan Bladder Cancer (link). Early days yet, so try not to get too far ahead. This is a one step at a time procedure. Best wishes.
rily's post has covered the main routine aspects. Many of us on here have been through these procedures, usually while frantically trying to get up to speed with this new, unwelcome intruder after the initial diagnosis. Macmillan produce free booklets which give a drama free, informative description of bladder cancer and its possible treatment paths. I found it to be very useful. On the forum we generally advise people to use google very sparingly because, particularly in the early stages after diagnosis, it can increase one's already heightened alarm to unhelpful levels. My diagnosis was in mid 2017. Tumour was 7cm. Radiotherapy destroyed 95% of it that year and two TURBTs a few months later quelled most of the remaining symptoms to the extent that palliative care as and when required has managed any that return so that a reasonable quality of life can be maintained. Treatment paths will vary from patient to patient and hospitals do not necessarily adopt identical strategies, so there is no single answer to what will happen next. After a TURBT it is quite common to have a Foley urethral catheter for a shortish while, depending on many factors such as post operative bleeding or tenderness. Most patients who show good recovery will have a TWOC (Trial WithOut Catheter) as soon as possible if they've had to have one. It is simply a test to make sure that the bladder can empty adequately with reasonable control after removal of the catheter. Best wishes to you and your husband and welcome to the forum.
Thank you so much for the welcome and well wishes RayMK . I am sorry to hear about your own experience with this, glad though that you refer to having a reasonable quality of life in the midst of this.
I have only just thought to look up Macmillan tonight and I am pleased to have found this forum. I will definitely have a look at the reading resources available through them. Your reply is helpful - thank you.
Best wishes to you.
Hi Firefly,I’m glad you are getting some reassurance here and on the Alzheimer’s forum.Do you have much support ? I was my late mum’s carer and she had vascular dementia with Alzheimer’s.Once your husband has had his second TURBT a team made up of different specialities a multi disciplinary team (MDT) will come up with a treatment plan.These early days involve waiting unfortunately and that is never easy.Let us know if you have any questions as there is usually someone here who can answer.It is a good place to voice any worries.Best wishes Jane x
Thank you for your kind support (I know everyone has things going on themselves).
I am sorry to read about your mum as well.
I think that I have spend so many months understanding the Alzheimer’s diagnosis but as yet, I do not know what to expect with this (but I suppose as you say, it is a wait to allow them to do the necessary and then we will know more).
it is good to know that there will likely be support (I am a little worried about the added confusion due to the treatment etc I suppose I will just take this a day at a time).
We have 3 adult daughters and we are very close. I am trying to keep my worries to myself a little - as they have been very supportive but quite upset (more so than his Alzheimer’s diagnosis).
I appreciate having somewhere to chat and just express my worries.
Thank you again and take care x
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