Hi, my husband has been diagnosed with bladder cancer and has been offered neobladder surgery. The offerer was made by the surgeon before he understood that part of the transplant treatment, in 1997 anyway, was total body irradiation. Apparently radiotherapy can damage the guts.
Has anyone had TBI and had or failed to have a neobladder?
He starts 9 weeks of chemo on Thursday 17th.
Many thanks,
Pam
Sorry I don't have that experience either, but I do know that radiotherapy in the past can cause internal scarring or adhesions that makes bladder removal tricky. Neo isn't always possible anyway, for various reasons. I was able to have one, but had to have a cysto to check in advance. They always mark up for a stoma in case they find a neo isn't possible when they open up. If he really doesn't want a stoma and bag, he could ask if a Mitrofanoff would be a possibility. That is an internal pouch made from intestine, like neo, but catheterised through a small opening on the abdomen (sometimes in the navel).
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2024 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007