Muscle Invasive Bladder Cancer

FormerMember
FormerMember
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Hello Everyone,

Testing times we are in. I apologise if this a very long post but I need to record my experiences.

Until September 2019 I have never been unwell. We returned from a trip to Arnhem on 23rd September. On 24th I returned to work and during the day noticed I had to go to the toilet quite frequently. By the evening it was every hour and during the night I must have got up five or six times.

By the Thursday night I had become incontinent over night and on Friday I made an emergency appointment with my GP. A urine test showed no problem but he put me on antibiotics for a week. The following Friday I was no different and returned to the GP. He sent me for a full range blood test. The surgery telephoned me on the next Friday and said I had an abnormal blood test for Potassium and Createnine (PSE was ok) and would need another straight away. Another week and back to the GP he said I should not drink alcohol, fizzy drinks eat bananas etc for another two weeks and go for another blood test.

On November 3rd my Kidneys started to ache quite badly and by the 5th I was in a great deal of discomfort. We went to A&E where the doctor did an DRE and found my prostate to be small and smooth. More blood and urine tests plus a CT scan. The scan showed a dilated ureta and the doctor said I may have passed a stone but there was no evidence of it in my bladder,however he felt there was something wrong in my bladder or kidney and would refer me to Urology urgently. We waited a week and the phoned Urology and they said they had no record of a referral. We rang A&E and the doctor had omitted to do it. We had an appointment the following week where the doctor also carried out a DRE and confirmed my prostate was small and smooth. He put me on a course of Tamsulosin and my wife said but you found his prostate was ok and he insisted it was a man thing and the medication would sort it. He said he wanted an ultrasound of my kidneys plus urine flow test. The ultrasound was quite quick and flow test was a waste of time as I barley did an egg cup full between visits as it was always fairly urgent I needed to go.

We went back to the doctor and my wife again pointed out there was something seriously wrong as I was wearing Tena men night time pants as I was leaking constantly when I dropped off to sleep. I rather doubt I slept more than half an hour at a time. He gave me additional medication for an overactive bladder. He then said he wanted a CT of my lungs, kidneys and bladder with contrast as he had notice a dark node on my lung from the first CT in November. Another appointment and he said he wanted to carry out a Cytoscopy. This arranged for January 30th some four months after I first visited my GP.

I had the procedure and as I was in recovery the doctor came and muttered something to me. I was spaced out and had no idea what he said. I went back to the day ward complete with saline feed to a catheter that was draining into a bedside bag. In the evening a Junior doctor came to man in the bed opposite and my wife collared her and asked what they had found. She went and got my file and said she could not read the doctors hand writing but he had done a crude drawing which indicated a mass in a my bladder and he had taken a biopsy. The following morning another doctor came and said they had found a mass and a sample had been taken for histology. I was discharged the following day once the urine in the catheter was a mild cherryade colour. The catheter was removed.

My discharge paperwork said they had fitted a stent to my left ureta which was the first I knew of it.

 Another ten days another appointment. Different doctor scanning my notes and said the result of the biospy is that I have Muscle Invasive Bladder Cancer. My wife hit the roof and said but you have been treating him all this time for prostate problems and there is nothing wrong it. He apologised and just said that  90% of the time that was the case. He then handed us over to an Oncologist Nurse who gave us a Macmillan booklet and said we would be referred to Addenbrookes after I had an MRI scan with contrast.  I had the MRI the following week without contrast as my Createnine was still far too high. 

The following Monday Addenbrookes phoned me and made an appointment for the Tuesday morning. Appointment came and they ran through everything. Offered me a catheter as I was still incontinent at night and not sleeping. Made an appointment for a further Cytoscopy on Wednesday the next week. Blood, Urine, MRSA and Lung Function tests as well as ECG plus setting up a mychart online account for my records all in the morning.  In the evening they rang me concerned about my blood test results. On Thursday morning they had me back in to carry out a Nephrostomy on my right kidney. The Radiology intervention consultant said my kidney was not draining at all and I was posoining my self.

So I have bag on the outside and inside of my right leg. I feel fine and sleep all night hooking myself up to night bags. I get anything up to 1500ml out of the right kidney overnight and only 150ml out of the catheter so my left is working but not very well. This could be the stent or tumour I don't know.

I will post the next instalment shortly with my experience and follow up from Addenbrookes.

  • Sorry to hear you have joined this club. A delay in diagnosing BC is a common story. Hope now it has been detected you'll soon have  a treatment plan.

    Addenbrooke's is a specialist centre, so you are in good hands. I can speak from experience, they are a great team there. I had my treatment there 8 years ago, now just on annual follow up.

  • Hi and welcome to the group. It sounds as though you have had a tough time of things so far. Unfortunately we know that bladder cancer is often late to be diagnosed. Some of us have had more proactive GPs than others. Although round about the 5th most common cancers, few people know of it. Good to know you are in the system and having treatment. It sounds as though you have had 2 TURBTS (rigid cystectomies) . The results of all your recent treatments will determine the next move. I hope all goes well. Lots of experiences here if you need to ask any questions. Best wishes.

    Best wishes to All,   rily.

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  • FormerMember
    FormerMember

    Addenbrookes Cystoscopy carried out. Consultant came and said that the tumour was quite extensive and my bladder was raw and inflamed. He said my bladder was mobile which was a good thing.He said he would arrange for a PET scan as the one asked for on my first appointment had not been arrange for some reason.

    The Catheter blocked the following day. The district nurse flushed in the morning but it blocked again in the afternoon. A nurse came and said the only option was to replace. She tried for a very uncomfortable 20 mins and could not get it in and sent me back to Addenbrookes. In the evening they tried to get one in...  far more discomfort... then they tried a bent tip version which again did not want to pass my prostate. A brief discussion where I said whatever it takes get it in. Much sweating and gritting of teeth and it was in. Then saline flushing using a syringe to get it run clear.... more discomfort. The worst two hours I've ever had. Two nights in because of high temperature. Antibiotics and  a test for Corona virus (clear) and then dishcharged. 

    The PET scan was shortly after. Another appointment by telephone as everywhere was closing down because of the virus. Consultant ran through options. Surgery to remove the bladder not an option. Chemotherapy not an option as my blood results not good enough. Radiotherapy and possibly Immunotherapy only options. Transferred back to Bedford based doctor for treatment plan.

    The more he spoke the less my chances of survival especially as the PET scan showed heavy activity in a Lymph Node.

    Radiotherapy starts on 22nd for 20 days. Lymph Node I asked if they would remove and the Dr said it was not something they would do.

    I am now in a world of Limbo as I expect many of us on here are. I can't go to work. The consultants have not really given me a definite prognosis. I have a Catheter,Nephrostomy and Stent with no idea when they have to be changed or removed.

    This morning I have emailed both Bedford and and Addenbrookes to see if I can get answers to the questions on my treatment and chances of survival. I did point out that 5-10/100 might be a low chance of getting through this but with no treatment there is Zero survival chance.

    Thanks for reading folks

  • Hi Sidpig. Your story is a huge shock for you. Just felt I had to acknowledge that, and say hello as until recently-ish we lived in Bedford, and still have friends and a daughter there. As she is under several clinics at Addenbrookes I'm just visualising the too-familiar drive to and from. We tend to go to the M11 past the American Cemetery. On the way back as her appointments are usually late morning, we always stop and picnic in the layby just past there coming back, it offers a lovely panorama across country. We once watched a hawk hovering over the field.

    Regards, 

    Denby

  • Hello sidpig, 

    It’s very unfair on cancer patients at the moment with Covid19 and a lot of treatments having to be cancelled. You've really had to put up with a lot these last few months and I’m sorry you are not getting any answers as regards your future treatment. I’ve no experience of your problems but I am sure other on this site have.

    I’m sending my best wishes and hope that your radiotherapy goes ahead as planned next week.

    Luce

  • FormerMember
    FormerMember in reply to FormerMember

    You should have been given a CNS dedicatedated nurse. She will be able to find answers to your questions and will have access to your records. Mine has been extremely helpful Blush

  • FormerMember
    FormerMember in reply to FormerMember

    I was given a nurse in at Addenbrookes. They were very attentive and cannot fault them in any way. When I was in for both the Nephrostomy and Cytoscopy they came to see me several times making sure I had everything and left with a good supply of leg and night time bags and cleaning materials.After they decided bladder removal was not an option I was transferred back to Bedford and at the moment the 'mycareplan' is not in place so do not have a dedicated nurse there.

    I have emailed the CNC and they passed on my questions to the doctor who has responded directly. This has been helpful. 

     

  • FormerMember
    FormerMember in reply to Denby

    Hi Denby

    A tremendous shock. Apart from minor ailments I have never been unwell. No excesses throughout my life. I am, or was, due to retire in November 2021. The one excess I did have was paid overtime. I never refused and always worked a minimum of six days a week. We have seven children so a lot of it was necessary. They all, bar one, grown with partners working and buying their own homes and we have seven grand children. Fortunately our youngest at 25 is still at home and whilst we are in quarantine he has done all the shopping on the way home from work each day.

    Our retirement plans are now on hold pending the outcome of this and further treatments. We have an old classic car and intended to tour the the country visiting National Trust, English Heritage sites, Classic Car shows plus 40's events with the car. This year was going to be the start of the 'wind down' from work. Sadly that's all out of the window. Ho Hum!

    The first time we went we took the park and ride from Madingley. The second we drove in through Cambridge. That was a bad idea. We now drop down two junctions on the M11 and the route in to the hospital is quick and easy. 

    Since I start 20 days radiotherapy tomorrow the lack of traffic at the moment means we can get there in 40mins. The only bonus with Covid 19

    We visit the Cemetery a few times a year. It is a place of tranquility and we reflect on all those young men whose lives were risked and lost.

  • Fascinated, what classic car do you have? been to the Twinwoods festival once, would love to go again...

    Times have certainly changed re the traffic. Our standard plan allows an hour to drive, as you say via M11, and half an hour to find a parking space, even with a blue badge.

    I've never been in to the American cemetery but certainly think as you do when passing by.

    Denby

  • FormerMember
    FormerMember in reply to Denby

    Denby

    Twinwoods is an annual pilgrimage for us. We go on Sat/Sun unlike our youngest daughter who arrives Thursday night and leaves Tuesday morning. It's a boon for me as I can make myself comfortable in the main arena and the girls wander up through the stalls.

    We have two Riley's 1951 and 1954. The newer one needs a lot of TLC (retirement project) the 51 is in excellent condition. Not perfect,as we go out almost every weekend in her to shows etc, but very nearly. Just great fun. Hopefully the picture will upload.

    Three days of radiotherapy and so far so good. I suppose any side effects won't kick in just yet  will have to wait and see.

    Next blood test May 5th to see if my kidneys have managed to clean my blood to a level I can have Chemo. The bladder is less of a concern to me at the moment because I know it's being hit but the Lymph Node is still up in the air. I have found I you have to seem to be more forceful to get things moving as they do tend to drift.