Cystoscopy risks after breast cancer

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I have been referred to urology 2ww haematuria clinic by my GP after having blood in urine ( 2nd time this year) was prescribed antibiotics and only saw blood on one morning. Urine test showed lots of white blood cells and no infection. The earlier occasion an infection was confirmed.

Gp said this referral pathway was quicker than normal urology which is 12months in this area.

Having read up about risk of cystoscopy I am very worried about agreeing to this. My bladder walls are already thin post menopause and treatment with letrozole after breast cancer. I also have a large fibroid which occupies my entire uterus and is pressing down on my bladder( as seen on recent pelvic mri) it's the size of a melon.

I had a grade 3 breast cancer with lympho vascular invasion so am classified as high risk of recurrence. My concerns re cystoscopy are that the invasive procedure will cause inflammation and wake up dormant breast cancer cells, that my thin bladder walls will be damaged, that I will get an infection from the procedure and will suffer over Christmas when I am going away. Lastly if I do have bladder cancer I would be unlikely to accept treatment at my age with no dependants.

Can I refuse this procedure?