← Return to Post-nephroureterectomy for UTUC - now abnormal bladder cells

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@sepdvm

Hello lrwants2know,
My husband had highly aggressive muscle invasive UC in the bladder diagnosed in 2019. After partial cystectomy and 29 l. nodes removed (all clear but 1 closest to bladder) he started Gem/Cis treatment. Recurrent abnormal cells and suspicious spots on cystoscopies, TURBs, BCG failure, Pembrolizumab failure, and he got tired of the procedures and had radical cystectomy with neobladder formation. December of 2021. All recurrences were non muscle invasive but we know the tumor type so expect progression. After multiple issues with postop complications, retrograde ureteroscopy, neph tube, repeat ureter attachment via robotics, he just had a final robotic surgery to repair his huge incisional hernia. All the care has been at Mayo Clinic MN, for surgeries not always available by local urologists. I totally understand what you are going through and how terrifying it is but you are doing a great job researching and advocating for your care. I understand from Canadian friends with cancer that you must do this for yourself with your health care system. We have also found that being knowledgable about your medical condition is a huge plus. We have also had a lot of experience with complementary therapies with my cancer (Head & Neck SCC) of 11 years. Include in your research the various ways to boost your immune system such as beta glucan, diet changes, probiotics, Vitamin C, etc. I know there are naturalists in Toronto area that my friends used. Qubiologics.com is doing a lot with immune therapy and located in BC. While these never take the place of traditional medicine, they may improve your odds of fighting this cancer with your own immune system. I know it is a lot of work researching constantly while undergoing all the rest. A favorite book to give hope is How Not to be My Patient by Edward Creagan, a palliative care doctor at Mayo Clinic. Good luck to you in this battle. Susan

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Replies to "Hello lrwants2know, My husband had highly aggressive muscle invasive UC in the bladder diagnosed in 2019...."

Hi Susan,
Sincere thank you for the information on immune boosters. I have started taking a Vitamin C/Quercetin supplement. Both are very good immune system supports. Also Cranberry Extract to ward off UTI since my urethra and bladder are going to be subjected to catheters for the next 6 weeks with BCG instillations.

The hardest part of a diet change is weaning off chocolate bars. I am a chocoholic and want something sweet to eat. Since sugar feeds the cancer, I am trying my best to reduce. It is disconcerting to reduce sugar and bread and potato consumption only to find the scale going higher. I lost my right adrenal gland when they took out the kidney (they were "stuck" together) and my Thyroid Stimulating Hormone level is higher. I lost 30 pounds from the on-set of UTUC and the start of Immunotherapy. I've gained back 20 pounds (that I don't need). Is my metabolism slower because of the immunotherapy?

My Oncologist, urologist and the onco-urologist surgeon who did the RNU are all confident that the BCG will work in combination with the Nivolumab therapy and that I not loose my bladder anytime soon. I know they are putting a bright spin on it. All of the journal articles on Bladder cancer after RNU surgery for Upper Tract Urothelial Carcinoma note that BCG is not a guarantee, as your husband found out. They say "everyone responds differently", but statistics are supposed to provide a mid-ground of the responses, and Bladder Cancer after UTUC has the mid-ground at the low end of the "progression-free", "overall survival" spectrum.

I hope the doctors are right, but am prepared to say "I told you so". Time will tell.

Give your husband a hug for me.
Linda