Paula, yes almost positive the fistula would make you not a good candidate for mitomycin. However, knowing nothing about either doc you are seeing, choose whoever you think is most competent at removal. The removal and getting the margins clean is important. A good question to ask, as we learned, is how mant TURBTS do you do a year? Our first uro did 30. Our oncologist/uro does well over 200. Keep us posted. Wealth of info from folks here.
Thanks for steering me in the right direction! After digging a little more I see that Mitomycin is contraindicated if there is a perforation and I am guessing that would include a fistula. I Did get a call back from the Uro's office today was not expecting one, but even the nurse was confused as to why I was not getting it (mitomycin), she said they always do it! So I think that explains it. I will be calling on Monday to ask a few more questions, but I think I am pretty sure I'll just go with the original Dr for the TURBT and then have the second opinion done afterwards to make sure we are all on the right track!
At this point it is still scheduled. I will have the weekend to do a little more research as the dr is not in the office until Monday to answer any of my questions. If they can't do the Mitomycin because of the fistula, I may as well have the first turbt done with the original Dr and at least get things staged and going. I have the fistula causing a constant UTI and that will not be fixed until they have an idea what is going on.
Are you still having TURBT done with first doc or waiting to see what UofM says? We had a TURBT schefuled with local doc and after researching further we decided to cancel and move on to the uro/ oncologist we see at Northwestern now. In hindsight it was a good decision for us. First uro was not well versed in bladder cancer:( he did more UTI's, erectile dysfunction, vasectomies etc.
Wow!! UofM works faster then I figured... they have already called and I am scheduled on the 27th of June! I guess maybe the mitomycin treatment is something I need to research a little more... *sighs* I guess I can never do something simple... lol