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Louise:
Sorry that the tumours have recurred again. It is not uncommon, of course, though that does not make the journey any easier. But lots of us understand having gone the same journey. Mine came back six times. Unfortunately for me, mine also then progressed to muscle invasive disease necessitating the removal of bladder, prostate and lymph nodes and having a neobladder constructed. Others do have multiple recurrences without it progressing so do not despair. Sometimes if the tumours continue to recur and are high grade, the uro will discuss options like a radical cystectomy. Be aware that the discussion may occur at some point, though the path forward is a cooperative one between uro and patient taking into account the pathology, patient preference, uro recommendations, etc. The good news is that even with a radical cystectomy and urinary diversion (of which there are four, but three frequently used ones), life can be wonderful and cancer free.
But that may never be a conversation that is even necessary. These TURBTs are designed to prevent the progression and the treatments designed to reduce or eliminate the recurrence. Keep on fighting. It’s well worth it!
Greg