Diagnosed with Low grade / Non Invasive this Morning, questions

Usually the reasons for a second opinion are if there are uncertainties or questions with the original diagnosis, or for a complicated situation where there might be differences of opinion on the optimal treatment, or if a patient does not have confidence in the original diagnosis/doctor/situation.

You have to decide for yourself what information you are seeking and whether you need a second opinion to obtain this.

Sara Anne

Sounds like about as good a report as you could expect. Muscle was present so that indicates that they could see that it had not spread into the lower layers of the bladder.

The usual recommendation given in a case like yours is to have cystoscopic exams every three months for two years, followed by every six months for the next three years, and then every year forever.

Sara Anne

You probably need to ask for a copy of the path report for your files. It is yours, you paid for it, but some people aren't interested and so the doc may not routinely hand it to you.

I assume that the urologist discussed your treatment plan with you? What did he/she suggest? At a minimum you should be having cystoscopic exams every three months for the next two years. The "dirty little secret" about low grade bladder cancer is that is has a habit of returning. If it does, you want to catch it immediately. As for the path report, did it report any uncertainties? Was muscle tissue present (so that they are sure that it did not extend into the muscle or the lamina propera (the layer below the bladder lining)?

As for a second opinion, this also is your option. If you feel comfortable with your urologist, his willingness to discuss your case with you, and the plans he has for your treatment in the future, you are probably fine. If you have any doubts about this, now is the time to explore other places.

Wishing you all the best

Sara Anne