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Prostate cancer AND bladder cancer - any others with both?

Prostate Cancer | Last Active: Apr 11 7:11am | Replies (25)
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Profile picture for sbassmeister @sbassmeister

I have been dealing with prostate cancer since 2023. I had an RARP in 2023. The cancer returned in 2024 and I had 39 radiation sessions. Two months after the end of radiation I began having blood in my urine. My Radiation Oncologist said that it was likely due to the radiation and we would keep an eye on it. That was June, 2025. Yesterday I had a cystoscopy and learned I now have bladder cancer. I go in for a biopsy in March. I'm wondering if this cancer is either related to the prostate cancer or if it was caused by the radiation.

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Replies to "I have been dealing with prostate cancer since 2023. I had an RARP in 2023. The..."
heavyphil | @heavyphil | Mar 5 9:04am

@sbassmeister My bladder cancer was discovered during RARP. The surgeon removed it and it was Grade 0 (malignant, but low grade)
However, it recurred and was again removed and still Grade 0. It recurred yet again, was removed and I was treated with 6 bladder infusions of BCG - live TB - which elicited a strong immune response.
So far, I have been tumor free 4 yrs and I get scoped every 6 months.
I did receive 25 sessions of SRT after my bladder cancer and my Uro said that sometimes radiation can cause latent cancer to grow, which is why I am still getting screened.
It’s very possible your cancer was minute and the radiation made it grow or it could have had nothing to do with it.
But the biopsy will determine how it should be treated. I read recently that BCG combined with Aktiva(?) is showing promising results in more invasive cases. Best,
Phil

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sbassmeister | @sbassmeister | Apr 10 2:05pm

I learned that I had a fast growing type of bladder cancer that is unrelated to my prostate cancer or my radiation. Luckily for me, it has not invaded my bladder muscle which means I can do chemo and not have to deal with bladder removal. I will have 6 sessions of chemo, one a week for six weeks. I'm not sure what type I'm getting as they said the BCG version is very difficult to obtain.

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