Anonymous

3 years

Bladder cancer stage 1 Low Grade

I am a 61 years old male, performed stage 1 non invasive tumour Removal operation in year 2018.But recurred twice in year 2020 Jan and Aug. Any suggestion to stop or reduce recurrence?

Greetings!

Thank you for your question

Smoking and eating processed foods should be avoided if you want to stop the recurrence of bladder cancer.

Stage I bladder cancers have grown into the connective tissue layer of the bladder wall (T1), but have not reached the muscle layer.

Transurethral resection (TURBT) with fulguration is usually the first treatment for these cancers. But it’s done to help determine the extent of the cancer rather than to try to cure it. If no other treatment is given, many people will later get a new bladder cancer, which often will be more advanced. This is more likely to happen if the first cancer is high-grade (fast-growing).

Even if the cancer is found to be low grade (slow-growing), a second TURBT is often recommended several weeks later. If the doctor then feels that all of the cancer has been removed, intravesical BCG (preferred) or intravesical chemo is usually given. (Less often, close follow-up alone might be an option.) If all of the cancer wasn’t removed, options are intravesical BCG or cystectomy (removal of part or all of the bladder).

If the cancer is high grade , if many tumors are present, or if the tumor is very large when it’s first found, radical cystectomy may be recommended.

For people who aren’t healthy enough for a cystectomy, radiation therapy often along with chemo might be an option, but the chances for cure are not as good.

Therefore, we greatly suggest that you refer this to your nearest medical doctor. You may also click on this link (DoctorOnCall) to speak with our doctors online. We assure you that our conversations are kept in confidentiality unless additional consultation needed with other medical parties. Thank you.

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