in office fulgeration

I would be a bit concerned if I was having recurrences every three months and the urologist was just removing the tumours with no pathology report being done. At very least I would ask for my medical records and seek a 2nd opinión. I picture the growths like weeds in the garden- you can whip the weeds out at the surface but have you got the roots?

Hello, and welcome to the Forum!!

I assume by fulguration, you mean that he uses an electrical current to burn off the tumors. I have never had this done, so do not know what the discomfort level might be. I am puzzled as to how the urologist will know what the pathology of the tumors is if there is no tissue to send to the pathologist? Low grade can progress into worse without notice and this cannot be determined just by "looking" even by an experienced uroogist.

Also do not understand why you would need surgery every three months? The usual protocol for follow-up is a cystoscopy every three months (in the office with a small camera where the urologist examines inside the bladder....no surgery, no anesthesia). Only if a problem is found is a TURB (biopsy) scheduled and the tumor removed and sent to a pathologist for analysis.

Guess I would want any tumor to be carefully examined by a pathologist so that I would know exactly what I was facing.

Sara Anne