Only processing things a year later - feeling alone

FormerMember
FormerMember
  • 5 replies
  • 50 subscribers
  • 855 views

Hi everyone

I hope it's okay to post this here, given that I no longer have bladder cancer and I didn't have muscle-invasive bladder cancer. I just could really do with talking to literally anyone who gets it. 

It's been over a year after I was discharged and told the chances of the cancer coming back are very low and I'm only now beginning to process what happened. I know I should be happy but I have these moments of real sadness and exhaustion and it is all hitting me for the first time. 

I was diagnosed with bladder cancer aged 21 while studying at University and it was very unexpected. I had a cystoscopy under general anaesthetic where they were very surprised to find a tumour - I had TURBT and I was given mytomycin. I had been told that it would just be a check-up to rule problems out so it was quite surprising to come round some hours later. I was on my own in the hospital, catheter in, in pain while I tried to work on my dissertation which was due that week, and then I went straight back to halls and continued studying. Nobody ever told me the TURBT/mytomicin might leave me with pain or that I might need to take things easy, so I never took a break, never really processed it, barely even realised I'd been given chemotherapy to be honest. The cramping pain was initially so bad whenever I went to the toilet I would black out, and I was bleeding quite a bit (later found out that wasn't usual) and I had an allergic reaction to some of the medicine - but I just carried on as normal. The next week, I met the surgeon who, very gently and kindly, told me I'd had a medium-sized, aggressive but non-muscle invasive cancer.

Later that week, I sat my exams and sat exams for the next three weeks. I vividly remember telling myself 'If I let myself think about this, I will fall apart and I can't afford to fall apart right now' but I also think maybe I was underplaying it in my head.

My close friends and boyfriend knew but they were also sitting their exams and, to be honest, I don't think they knew what to say so nobody said anything. My parents were worried but I kept brushing them off. Basically, I never really talked about it. I never let myself process it or be sad or ask questions.

Every 8ish weeks, I had another cystoscopy check-up under general anaesthetic (I think because of my age), and sometimes TURBT/mytomycin was put into my bladder again because they had found something else, so there was more pain for a whole. But then thankfully I had 6 months of clear check-ups (all general anaesthetics), so I was told to wait 6 months and come back for a 12 month check-up which thankfully also came back clear! Because of my age that was literally it and I was discharged with no need for any further check-ups. I was just very glad it was all over. I didn't ask any questions - despite the fact the mytomycin had completely messed up my periods (I now bled for months at a time), which I mentioned. 

Because the mytomicin was put into my bladder, it was right next to my ovaries. I had anovulatory bleeding so much of the time and was told it might cause me to go into early menopause. It was awful, but I never really saw a doctor about it, never had anyone to talk to about any of it. I had a laproscopy to check on whether it left too much scar tissue around my ovaries which could have stopped my ovulation, but again I never really asked why that was necessary and never really processed the fact it would entail keyhole surgery. Different doctors kept saying that only older men get bladder cancer, but I was 21 and female and that made me feel more alone. 

Anyway, now it's been a year after that and it keeps hitting me and making me feel really low. Sometimes I still get the same pain which was the reason for the initial cystoscopy (which sort of knocks the air out of me when I stand up after weeing? idk if that's normal) and I feel worried again. I feel like it's too late to talk to anyone about it? Also as cancer goes, I had things so incredibly easy, I feel I'm not being fair to complain when so many people have it so, so much worse (and I am sorry if this post is annoying or I seem ungrateful for that reason). I just feel very alone. Any comments or advice would be hugely welcome, did anyone else experience this? 

  • Hi and welcome to the group. Where to start ? Firstly good to hear you are currently clear of cancer. It was once was classed as an older persons disease, but we are seeing more and more younger people on here. Not taking a break after your TURBT wouldn't have helped, but well done on getting back to your studies. It is difficult for close family and friends to understand. We know that the niggles never go away and difficult to let loved ones know how we really feel. That's where this forum comes good. We understand. It is unusual for Mitomycin to have the effects you have had, but everyone is an individual and the anaesthetic and treatment affects people differently. Always someone here with different experiences, so feel free to ask questions or just get things off your chest if you want. I hope your exam results are favourable. Best wishes.

    Best wishes to All,   rily.

    Community Champion Badge

    What is a Community Champion ?

  • Hi Sas95,I hope you will feel less alone now you have joined this group.I can relate to feeling alone with it all.Did everything happen fairly quickly ? You are amazing to have carried on studying while all your tests and treatment were happening.I had to care for my mother so I didn’t have time to process anything until I was recovering from surgery.It’s never too late to talk and we are all here for you.Love and best wishes Jane

  • Sas95, respect to you for carrying on with your life & exams after diagnosis ...  Some people go into shock & just don't know what to do, whilst others will cave in.  But in saying that we know only too well that we have no choice but to just get on with it.  Unfortunately bladder cancer is a Cinderella cancer, compared to other cancers there's not much support at all out there.   I must admit when I was first diagnosed I'd rather have had an arm, leg, & both boobs off than go through that again, I'd never felt pain like it in my life.  Plus I thought I was dying for the first 3 TURBT's & I couldn't understand why they hadn't told me yet.    The only reason I knew different was when I found this wonderful community, I'd never have coped without these people.  It is indeed a very lonely time & no one knows apart from those who've been there.  Actually it can be worse when it's all over as you suddenly realise what you've been through.  Everyone thinks that you're OK as it's gone, but in your head it remains. We understand, & will be here to support you xxx

  • Welcome Sas95, marvellous that you got your 12 month all clear. We all understand the physical and mental exhaustion you are feeling. A cancer diagnosis is a traumatic shock never mind at such a young age. You've been through a terrifying experience and still held your studies together, I have so much admiration for your courage. I wonder if, now you have such a positive prognosis, some professional counselling support would help so you to reflect on the trauma and reframe it? As you say close friends can find it hard to talk about life threatening illness because it is so scary. I believe there is a Macmillan telephone help- line which might suggest how to access help? Or maybe there is a student union advice service at your college? Well done for reaching out. love H x

  • You are certainly not alone, and thank goodness that you are in the clear!


    I found that getting my bladder cancer diagnosis in early 2020 to be extremely shocking. I cried for a a good few hours. The last time I cried before that, was 10 years before, when our first child was born. The diagnosis changed my life forever. I don't mean in a physical way, but mentally. It's like PTSD. If it helps, I can tell you that on the one hand I feel lucky that it's not worse, but on the other hand, I felt like there is a cloud permanently above my future. I also know of the exhaustion that can hit you out of nowhere. I experience it as a type of mental burnout, as it's always on the mind.

    It's very important to talk about it. I can't talk about it all the time, as I need to compartmentalise to a degree. So while I'm working, I don't think about it, which is a nice relief in itself. It's normally in the quiet of the early morning or late night, that it pops back up.

    I found that t I need/ed more mental support. So I referred myself to our local mental wellbeing service and did a 6 week course of Cognitive Behavioural Therapy (it's an online "course" with a weekly call with a counsellor). The CBT helped me hugely, I found that talking to a 'stranger' to be massively liberating, it has none of the baggage or handbrakes of talking to friends. They helped me to manage my feelings, even to this day I use the tools they equipped me with. Simple stuff but very useful . I can recommend it. And there's certainly no need for 'survivors guilt', we are all very happy for you! :-)

    Ps: this was my local mental health service, and I'm sure you will have something similar near you. https://www.richmondwellbeingservice.nhs.uk/

    Keep on keepin' on!