Bladder sparing

16 years 5 months ago #10754 by joeburg55
Replied by joeburg55 on topic Bladder sparing
Hi, Hang in there and just try and get things in order, its tough at first, but then you get into a routine. Bladder sparing is not for everyone, it has its limitations. Just be sure that your uro is on board with you all the way. Mine was very helpful and has been suportive. The first uro i had was not, so of course he is gone.Feel free to ask me anything you want. I will let you know this. It is hell on your nerves, you tend to secound guess yourself at times, but i feel this was the right direction for me to take. Please, make yourself familier with all the options , pros and cons, possible outcomes and reacurrance. Also wacth out for those who have horror stories for you. I have found that you never seem to get all the facts from them.
Joe

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16 years 5 months ago #10736 by Maria
Replied by Maria on topic Bladder sparing
When I get an appointment to review the next step for me the bladder sparing route is certainly an option I want to discuss. To date I have been so stressed during my appointments after the TUR, it is only after, that I realized I did not even ask where the tumor was situated in the bladder and what other options are available apart from the RC. The CT scan does not even show any bladder abnormality. I just need to get the appointment organized :-\

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16 years 5 months ago #10734 by Gene Beane
Replied by Gene Beane on topic Bladder sparing
Wow, thats great, our system was the same here, our urologist locally was linked to the Cleveland Clinic, so Dr. D'Amico our first urologist did the first turb then he set up our appt. to Dr. Campbell, sure makes it simple and not much work for us, we were happy as well with the Clinic, but not happy about loosing the bladder..but it had to go. Glad thing worked out for you...Ginger

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16 years 5 months ago #10726 by claysgg
Replied by claysgg on topic Bladder sparing
Almost a yr. ago I was diagnosed with a leiomyosarcoma (extremely rare and aggressive tumor) on my bladder. It was very near the ureter and through the bladder wall. I was set to have a cysectomy on Jan. 24 of this yr. at the Cleveland Clinic. Half way through the procedure the surgeon talked to my husband telling him the tumor was not as large as it was seen on the CT scan, apparently much of what they saw on the scan was inflamed tissue surrounding the very small tumor. The pathologist in the surgical suite tested all tissue removed and several lymph nodes, an ovary and other sites close to my bladder, all were negative for cancer cells, except the tumor itselt. I had a partial cysectomy, leaving approximately 1/3 of my bladder. The final pathology report received two weeks post-op was the same as was diagnosed during the surgery. What was in my favor was the location of the tumor, which caused severe pain during urination. Part of the surgery entailed removing the ureter and then it's re-implantation. If the tumor had been in another place on my bladder I would have been in big trouble.
I have had 3 post-op CT scans, all clear. In July, the radiologist told my dr. he would have never known I had had anything done to my bladder, it is back to a normal size and shape.
The docs are still shaking their heads with my case, very unusual tumor with a very unusual, but wonderful, out-come. I had no further treatment.
From an extremely Thankful,
Claysgg

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16 years 5 months ago #10340 by dmartin12358
Replied by dmartin12358 on topic Bladder sparing

There is nothing scary to me about about the MD Anderson study. As we know from this website, there are tremendous differences of opinion among doctors (and patients) on the best course of treatment. Patients in the study were offered cystectomy, they knew the risks, they made what seemed like a reasonable choice to defer cystectomy because diagnostics indicated that, after their last TURBT, they were free from residual tumor (though we know that understaging occurs about 40% to 65% of the time).

Actually, I think this study is a great example of determining the outcomes for patients who, when informed of the same treatment options, decide on different treatments.

Invasive blc is not an automatic death sentence. 12 of the patients in this study still seem to be free of cancer and I imagine they are still reasonably content with their decision. And even for those whose cancer had progressed to the lymph nodes..., chemo will work for some...

The patients had a right to choose their treatment, and the doctors were right to study the outcomes.

Dx 7/04, CIS + T1G3, Age 50
2 TURBTs
12 BCGs
Cystectomy 8/05 USC/Norris
So far, so good (kow)

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16 years 5 months ago #10321 by joeburg55
Replied by joeburg55 on topic Bladder sparing
even back then, they new that a tur alone would not help a large group, it realy makes no scense to do that, Yes it is very scarey that they would even take that approach, Go figure. Thanks for the info
Joe

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