Bladder Cancer Group: Introduce yourself and connect with others

Welcome to the Bladder Cancer support group on Mayo Clinic Connect.

This is a welcoming, safe place where you can meet people living with bladder cancer or caring for someone with bladder cancer. Let’s learn from each other and share stories about living well with cancer, coping with the challenges and offering tips.

Feel free to browse the topics, use the group search to find answers to your questions or start a new discussion.

Pull up a chair. Let’s start with introductions.

What type of bladder cancer were you diagnosed with? What treatments have you had? How are you doing?

Interested in more discussions like this? Go to the Bladder Cancer Support Group.

You’re fortunate…stick with Mayo…they are absolutely 1st!

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Hi. I’m a 53yo male and was diagnosed with T1 carcinoma in situ last month. I am being treated at Mayo in Rochester (about 6 hours from where I live) and so far have been very impressed with the care I’m receiving. It’s been worth every minute of the long drives.

I had a TURBT on Friday and will begin BCG in December. This is my first major health issue of any kind…I had never even spent a night in the hospital until last month.

Thank you to everyone for sharing their knowledge and experience in this group…it’s been helpful. I hope to do the same as I work through this.

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Hematuria led to dx of high-grade ca; have had 2 TURBTs. Interested in anyone near my age (76) going thru follow-up treatment... what did you have (BCG?) and what were side effects. I'm not interested in prolongation of life if the treatment prevents pleasant daily life🙏

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I would change to an oncology urologist ASAP. General urologists have good intentions but are usually not specialized in this subject matter obviously. Did you have a CT (urogram)?

If the blue light TURBT finds CIS elsewhere a partial RC is no longer an option.
https://emedicine.medscape.com/article/446101-overview

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Profile picture for jaxfl @jaxfl

Yes. I would very strongly recommend signatera, natera and imaging. The last thing you want to end up with is a full RC or worse once you are actually in surgery. Is your urologist a general urologist or oncologist urologist? My general urologist last year underestimated the urgency. So an oncology urologist is strongly recommended. Preferably at a NCI institute. Did he use blue light during his TURBT? CIS is notoriously difficult to detect and has a very high risk of recurrence elsewhere in the bladder, ureters and even upper tract.

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@jaxfl
Thanks for your reply. My next cystoscopy will be a blue light with TURBT if needed. I'm sure my Urologist is not a oncology urologist but very well trusted in his community.

In addition to all this, I have a 2nd opinion scheduled with Memorial Sloan Kettering on 11/13 to confirm the findings and possible treatment options. In my honest opinion, if I am assured that there is/are no cancer present I will move ahead with the Diverticulectomy. Depending on the 2nd opinion of course, Even though this is a second recurrence for me, it feels all very new to me.

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Profile picture for Colleen Young, Connect Director @colleenyoung

Hi @ksmcandle, you might be interested in these related discussions:
- Any other females here with bladder cancer in their 50s?https://connect.mayoclinic.org/discussion/54-yo-female-diagnosed-with-high-grade-bladder-cancer-1-5-years-ago/

- For Females with Bladder Cancer - Trouble with Administering BCG https://connect.mayoclinic.org/discussion/for-females-with-bladder-cancer-trouble-with-administering-bcg/

- Anyone had gemcitabine and docetaxel for Bladder Cancer? https://connect.mayoclinic.org/discussion/gencitabinedocetaxel-for-bladder-cancer/

How are you doing on gemcitabine and docetaxel?

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@colleenyoung Thanks for posting those links, they are helpful and mostly it's good to know I'm not alone! I had by first session of gemcitabine and docetaxel last week, and it went so much easier than I expected. Still not fun, but I felt that I was in good hands. Was a little tired for a few days. My next treatment is tomorrow (Nov. 5) and I hope it goes as well, although from reading other people's stories I understand that the cumulative effects might be rough. But I'm positive and hopeful and grateful that I have a good doctor and great nurses!

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Profile picture for annie72 @annie72

I was just diagnosed with a 3cm bladder tumor it was cancerous it was resected and I went home with a catheter, the bladder was injected with a round of chemo my next appointment is October 23 at which time I hope the catheter comes out and I should find out what stage it was and what chances of reoccurrence there is. I’m thinking I should be getting a couple more chemo injections but won’t know for sure anyone else have information on this ?

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Hi @annie72, I add my welcome and, like @sepdvm, would like to hear what you learned about your appointment. Did you find out the type and stage of bladder cancer you have? What is next for you?

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Profile picture for ksmcandle @ksmcandle

Hello, I'm Kay, aged 72. Had TURBT procedure on October 6, with Mitomycin inserted into bladder following procedure. I will be starting treatment with Gemcetabine and Docetaxel next week. I'd like to hear from other females about the side effects, especially pain upon urination and irritation, and if there are any suggestions to deal with that. Thanks! (I may not have the exact spelling of those chemo drugs!)

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Hi @ksmcandle, you might be interested in these related discussions:
- Any other females here with bladder cancer in their 50s?https://connect.mayoclinic.org/discussion/54-yo-female-diagnosed-with-high-grade-bladder-cancer-1-5-years-ago/

- For Females with Bladder Cancer - Trouble with Administering BCG https://connect.mayoclinic.org/discussion/for-females-with-bladder-cancer-trouble-with-administering-bcg/

- Anyone had gemcitabine and docetaxel for Bladder Cancer? https://connect.mayoclinic.org/discussion/gencitabinedocetaxel-for-bladder-cancer/

How are you doing on gemcitabine and docetaxel?

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Yes. I would very strongly recommend signatera, natera and imaging. The last thing you want to end up with is a full RC or worse once you are actually in surgery. Is your urologist a general urologist or oncologist urologist? My general urologist last year underestimated the urgency. So an oncology urologist is strongly recommended. Preferably at a NCI institute. Did he use blue light during his TURBT? CIS is notoriously difficult to detect and has a very high risk of recurrence elsewhere in the bladder, ureters and even upper tract.

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Profile picture for jaxfl @jaxfl

Diverticula typically have no muscle wall so the cancer can invade the fat rapidly. Plus become locally advanced.

My TURBT1 showed PT1AN0M0+CIS. TURBT2 (blue light) showed PT0N0M0+CIS.

RC was PT3AN1M0.

Only Mayo, MD Anderson and my local general urology group agreed with my assessment that immediate RC was warranted. Cleveland, University of Miami and Baptist South insisted on localized treatment only. The local general urology group proposed a partial RC.

High grade papillary + CIS is typically multifocal and very high risk and makes partial RC (diverticulum) infeasible.

Diverticula cannot be scoped deep enough during TURBT as the layer is thin and could seed malignant cells in the pelvic cavity

MD Anderson had no operating rooms for six weeks. Mayo did the RC exactly a week after my first meeting and I was put at the top of the list based on the risk.

We discussed neoadjuvant DDMVAC but given that it fails approximately 30% of the time and absence of a muscle wall that is risky.

Based on my RC pathology I did 4 out of 6 adjuvant DDMVAC cycles. A month later I started nivolumab ICI for 13 cycles.

I strongly recommend requesting signatera and natera. The first can provide assurance the malignant cells are still confined to the bladder, the second can provide genomic insight to guide therapy and assess risk plus assess PDL1, TMB and MSI.

Good luck!

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@jaxfl
Thank you so much for that information ! I had my appointment this morning with the Urologist this morning. The recommendation was to remove the Diverticulum since all cancer activity was limited to that specific area. Having read what you wrote, i will be doing more research ! Again, thank you !

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