I am caring for my mother in law who is 88 and was diagnosed with squamous cell carcinoma in her bladder 2023. Due to her general health and mobility, she was advised they would be carrying out surveillance, as she wouldn't be able to tolerate the usual treatments.
Since then, she has had regular cystoscopy's and a couple of TURBT/bladder flush operations. In December 25, the hospital advised due to her worsening mobility, (needing a hip replacement) urology were stopping the surveillance. We were told they would give comfort care, consisting of flushing the bladder should blood clots block her urethra, and radiotherapy to stem excessive bleeding in the bladder if needed.
Since the meeting, mum is so scared and has stopped 'living'. This is so hard for us to watch as she was such a strong person. We lost her husband of 62 yrs, NYE 22, he had kidney cancer for 20 yrs and he went that long as she wouldn't let him give up!
She has had recurrent UTI's every six weeks, last one being Easter, which knocked her for six. The GP has given her a daily antibiotic now, which seems to be helping. Her carers have been increased to three times a day as she is urine incontinent and finds it difficult to stand for long to make her meals. She sleeps in her riser recliner as she cannot get into bed because of her hip and she is worried about falling getting out to change herself in the night.
Currently she is just sitting waiting for blood in her urine, which there was yesterday. Just a couple of streaks. But now she has taken a downward turn as she sees this as 'the end'. We don't know what to do or where to turn for what to expect moving forward. Will these symptoms last for weeks, months or years?
Hopefully, there will be someone who has been through a similar experience who can help??
Hi DB64BOW, sorry to hear that your mother in law has urinary problems. Users on this site have experienced the same fears and anxieties as those you describe. Coping with regular urinary infections is really challenging but add that on top of waiting for a hip replacement is unbearable! I was diagnosed with BC 9 years ago (currently all clear) and also recently queued for a hip replacement (22 months) and I can tell you that my hip problems were the worst agony I have ever experienced. Thing is even untreated, some bladder cancers are very very slow to grow, and the comfort support being offered may prove to actually help if the situation gets worse. If it were me I'd see if you can speed up the hip surgery (it can even be done under sedation rather than anaesthetic) and once done the pain is just gone! There is some gradual muscle rebuilding required afterwards but generally I found hip replacement an easy procedure with a fantastic outcome. At 79 I'm even out gardening again after two years of virtual immobility. Best wishes and love to you and MIL. Hx
Hello DB64BOW, If your mum has been strong in the past, maybe her dip in morale will be temporary. Cancer symptoms can be wearing on the mind and body particularly when other factors restrict mobility and independence.
Although it is unwise to read too much in to the experience of other patients who have had similar symptoms, it can serve to give hope that things may be stable or even improve with palliative care. I was diagnosed with bladder cancer in 2017 and had radiotherapy then two TURBTs to shrink and remove most of a 7cm non-muscle invasive tumour. Bleeding has been my main symptom, initially with serious blockages caused by clotting and infection. A heart problem made chemo, BCG or major surgery too risky, so I've been on a palliative regime since early 2019 with just long term Foley urethral catheters to reduce the tendency for my bladder to bleed when its walls flex. To this day, I still have quite frequent very visible blood and sometimes small clots coming through into the bag, each bout lasting from an hour or so to a few days. Not marvellous, but I'm still here, living independently, driving etc. So it is possible for the blood in urine to continue for many years, 7.5 years and counting in my case. I'm now 76. Best wishes to your mum and yourself. Ray xx
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