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first turbt

3 years 2 months ago #50730 by sara.anne
Well no, not EVERYONE gets a second TURB. However, clinical studies have shown that in a very significant percentage of cases, the first TURB misses things and a second gives a much more definitive diagnosis. If there is any doubt at all about a diagnosis, a second TURB is indicated. The second time, the urologist has a much better idea of exactly where in the bladder the suspect areas are.

In my case, the first path report showed low grade papillary, and numerous areas of "inflammation." When the doctor did a second TURB concentrating on the areas of concern, the diagnosis was CIS which has a much different prognosis and treatment plan.

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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3 years 2 months ago #50727 by jroza1

GKLINE wrote: Everyone gets a second TURB to check for clear tissue that is cancer free.

Goerge


Wait- what? 2 of these things? I get a second scope, but a second TURBT?

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3 years 3 months ago #50562 by otto4444
The ct also showed several abnormal lymph nodes probly wanted to get the path done so we could make a plan I also have a blockage in lower part of heart awaiting cath for that wanted to get the turbt done first thanks for the input

Otto4444

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3 years 3 months ago #50559 by GKLINE
Actually this is good news wrapped in bad news.
Everyone gets a second TURB to check for clear tissue that is cancer free.
Your Dr felt you needed more expertise than he has, so he did the right thing.... sent you to a specialist. This will put you on the right track for recovery.

Take a nice big deep breath and relax....... you'll be in good hands

Goerge

Light a man a fire and he is warm for an evening.
Light a man ON fire and he's warm forever.

08/08/08...RC neo bladder
09/09/09...New Hip
=
New Man! [/size]

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3 years 3 months ago #50556 by sara.anne
Sorry that it didn't go as expected, but it sounds as if you have a good urologist. It has been shown in clinical studies that very often one TURB is not sufficient and your diagnosis may change a little after the second. Your urologist is right to send you to a place with more expertise in bladder cancer. Too often they just let things like this go.

I had a second TURB and it really refined the diagnosis so that the treatment I got was exactly what it should be.

Good luck

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
Forum Moderator
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3 years 3 months ago #50553 by otto4444
First turbt Dr couldn't get it all talking about sending me to fox chase will get results from surgery Feb 8

Otto4444

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