Stage 1 Bladder Cancer/Gemcitabine
My 78 year old husband has been living with non-invasive bladder cancer for about 14 years. He had a recurrence in December, (had TURB surgery)and is now going to be treated with a new drug called "Gemcitabine" (by infusion via urethra). In the past he has been treated with BCG following TURB procedure, but had a bad reaction to the BCG five years ago. On one other occasion, mitomycin was given. Wanting to hear from others who have been treated with gemcitabine and if the treatment worked . The urologists in Canada have just started using this drug for Stage 1 bladder cancer. Thanks.
Interested in more discussions like this? Go to the Bladder Cancer Support Group.
Colleen I made the 11.5 hr trip yesterday after talking to Steph in oncology. I have been in excuriating and debilitating pain for over six weeks and finally begged enough to get an MRI on hip and pelvic, results referred me to Mayo. Went to ER early Sat morning and had devastating news that my high grade, highly aggressive and invasive bladder cancer was not contained or stage 1, it has metastasized and I now have bone cancer, thanks to medical negligence in Michigan, where care lacked and symptoms ignored for 5.5 months. The cancer is in my hips, pelvis and legs with multiple fractures in hips and pelvis and deteriorated tibia. The speed and care in the ER was phenomenal and had answers to my pain and loss of mobility in a little over an hr. Under the advise of ER doctors, with Steph and ER doctors advocating for me to get in asap, we stayed in Rochester across from hospital in hopes of getting seen by oncology tomorrow, Monday 2/12. We will call at 8am sharp, praying for care and healing.
Fingers crossed. If you need help navigating the campus, there is a free Concierge Service.
Mayo Clinic Concierge Services
https://www.mayoclinic.org/patient-visitor-guide/minnesota/concierge-services
In person: Concierge Services desk
Mayo Building (lobby level, in the International Center)
Monday-Friday: 8 a.m. to 5 p.m.
No appointment necessary
By phone 7 a.m. to 6 p.m., Monday-Friday: 507-538-8438
Email: concierge@mayo.edu
Ask them about the Checker system too.
- How does the Checker process work at Mayo Clinic?
https://connect.mayoclinic.org/discussion/checker-process/
I am so sorry fir all you are going through. My husband was also diagnosed with HG T1 bladder cancer in 2020. We are lucky to live in AZ where there is a Mayo Clinic. My husband was enrolled in a clinical trial using Keytruda and BCG. He is under surveillance now. He had a great team at Mayo. We are just taking it a day at a time, as I know high grade is agressive.
My prayers are with you brother I am in gray area am having bad hip pain had clear cystoscope and PSA 2.9
Welcome, @chefterry. I gather from your username that you are a chef.
Is your doctor suspecting prostate cancer or bladder cancer? Do you have a diagnosis yet or are you going through testing?
I live in Australia but my treatment has been similar. Dx in 2016, had TURBT followed firstly by 12 installations of BCG. Sort further opinion and had another 12 installations of BCG. Cancer still present so switched to Mitomycin for 12 installations so then switched to Gemcitabine and at last success. Even though I had 18 installations I experienced a lot of pain during each procedure. The bladder didn’t like the treatment and tried hard to reject it, mostly with good success but eventually I have been in remission for 18 months and go to see my Urologist next month.
I have read other reports were patients had no issues at all with Gemcitabine, we are all different and I wish your husband every success so he can return to being free from this obstinate cancer.
My diagnosis was June 2023, Stage one, non-muscle invasive high risk -- due to the size of the original tumor (5cm) and micropapillary features. Very lucky to date, the second TURBT done 3 months after the first, showed no tumors, blood assay showed no circulating cancer cells. BCG was started 6 weeks after the second TURBT. No significant side effects and I was able to complete the induction in 7 weeks. The fact that you have completed 5 out of the 6, means that the induction is considered as complete. However, my question is with your side effects, why was no alternative chosen? Others are available and still others are in the pipeline for FDA - USA approval. As a side, my follow-up Cystoscopy showed no tumors nor did the urine assay show circulating cancer cells. My only issue is that due to the current BCG shortage, my maintenance BCG will be delayed.
Has your husband had his cystectomy? My hubby had this with neobladder formation in 2021. It is a tough surgery. Do you have an update for us?
On his scheduled cystectomy, was this a mutual decision between you and the surgical team? Did you get a second opinion? And have you touched bases with BCAN ?
Other choices are now available for the successful treatment of non-invasive bladder cancer, including bladder sparing.