Every cancer begins as a single cell that grows and propagates. Therefore it is posible to have early metastases that are not detected on initial studies. Any person who has ever had successfully treated for any kind of cancer always carries a risk of recurrence and metastases, but if you have superficial (noninvasive) bladder cancer removed and are monitored for recurrence your chances of long term cancer free survival are very good. Without the surgery, things will definitely get worse.
The man who had surgery and then died from metastatic disease most likely had early microscopic metastases at the time of his original surgery. It is unlikely that the surgery contributed to his demise. In addition he would have likely reached the point of invasive and metastatic disease without the surgery if his cancer was not already that advanced.
-Warren
-Warren
TaG3 + CIS 12/2000. TURB + Mitomycin C (No BCG)
Urethral stricture, urethroplasty 10/2009
CIS 11/2010 treated with BCG. CIS 5/2012 treated with BCG/interferon
T1G3 1/2013. Radical Cystectomy 3/5/2013, No invasive cancer. CIS in right ureter.
Incontinent. AUS implant 2/2014. AUS explant 5/2014
Pediatrician