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How do I get a Second Opinion (cancer)?

Cancer | Last Active: Jan 21 10:40pm | Replies (43)

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@gordy6898p

Yesterday ( January 17), I had my final Chemo #6 infusion for bladder cancer...

I also met with my oncology doctor, and the news is good there. They've decided that I'm good candidate for bladder and prostate removal surgery vs. radiation treatments. I had swollen prostate surgery many years ago, however no cancer cells had ever been detected there.

My cancer is at stage 3, meaning tumors have not metastasized (spread) to other organs.

According to the following link, provided by the "American Cancer Society," after bladder tumors reach stage 4, the outcome is less predictable. Tumors there are more difficult to detect, and may have even started penetrating the bladder's outer wall.
https://www.cancer.net/cancer-types/bladder-cancer/stages-and-grades
On February 7 I'm scheduled to meet with the oncology team to schedule surgery. In the meantime they'll be working out the details.

There are two options for bladder removal surgery, one with a long abdominal incision for placement of an external Stoma. The other option being a few small incisions with surgery performed robotically, via the following method of "laparoscopy."
https://my.clevelandclinic.org/health/treatments/21094-robotic-cystectomy.
In discussing with the VA doc yesterday, he wasn't sure whether surgery would be performed at the VA hospital, or at the adjacent U of W research center.

If approved, and I'm given a preference, it will likely be laparoscopy, since it seems to be less risky, and offers a shorter recovery time.

With either surgery method much of the final results may depend upon surgeon skills, with a little luck thrown in.

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Replies to "Yesterday ( January 17), I had my final Chemo #6 infusion for bladder cancer... I also..."

Robotic surgery known to be more precise with less downtime. I would always choose this if offered the option.
Best of luck for an excellent recovery.