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  • Having TURBT to have small 5mm tumor removed- Can I refuse BGC treatment

    Posted by jones on May 5, 2018 at 2:02 am

    I’m having a transurethral bladder resection next week for 2 small 5 mm tumors. The urologist said they are very well differentiated and noninvasive.

    No one has told me including the urologist what will happen during surgery. I simply want the urologist to take out the tumors and and to have a pathology done on them.

    I was told I can talk to the urologist just before surgery. If he suggests that I have a bladder wash like a BGC treatment Post surgery can I refuse that and simply ask for the bladder tumors to be removed?

    I want to take things slow. But the urologist/surgeon it’s kind of pushy and domineering. Can I say what I want and don’t want during or after a surgery?

    TimODell replied 6 years, 10 months ago 4 Members · 7 Replies
  • 7 Replies
  • TimODell's avatar

    TimODell

    Member
    May 8, 2018 at 11:38 pm

    Yes you can it is your body!

    However I would advise that you allow your Dr. to administer the BCG treatments.

    I have had 3 bladder scrapings aprox a month apart along with BCG treatments.

    I have been cancer free for 2 years just found out it is back now in my Urethra just outside my bladder, next month having bladder, prostrate, and part of my urethra and lymph nodes removed and having an Ileio conduit with an ostomy with external urine collection bag.

    Just my 2 cents morth.

    All the best to you.

    Blessings,
    Tim


    2 Time Bladder cancer survivor here to help others.
  • richard_lv's avatar

    richard_lv

    Member
    May 8, 2018 at 2:50 am

    Just a note that my dad had two TURBTs but didn’t have mitomycin wash.

  • jones's avatar

    jones

    Member
    May 5, 2018 at 4:47 pm

    Thank you! great info!

  • sara.anne's avatar

    sara.anne

    Member
    May 5, 2018 at 2:34 am

    It is done as part of the procedure while you are still asleep. Won’t even know you had it.

    They won’t know with 100% certainty until the path report is back. However, an experienced urologist has a pretty good idea.

    The mitomycin wash is usually done regardless of whether the doc thinks it is cancer or not.
    And he may not tell you his “guess” before the path report is back because his guess could be wrong.

    Sara Anne


    Diagnosis 2-08 Small papillary TCC; CIS
    BCG; BCG maintenance
    Vice-President, American Bladder Cancer Society
    Forum Moderator
  • jones's avatar

    jones

    Member
    May 5, 2018 at 2:32 am

    One thing I’m confused about is how does one know a bladder tumor is actually cancer until after the pathology test?

  • jones's avatar

    jones

    Member
    May 5, 2018 at 2:30 am

    Hi, do they always give a mitomycin wash after a TURBT? The first urologist I saw said that I wouldn’t even need a catheter after the Surgery. I haven’t been informed by the surgeon urologist about anything to do with what will happen

    . I am planning to talk to him just before the operation.

  • sara.anne's avatar

    sara.anne

    Member
    May 5, 2018 at 2:22 am

    You can refuse anything you want to refuse.

    The usual procedure after a TURB is for a quick wash with mitomycin just in case there are any “loose” bits of cancer hanging around….they would never use BCG with an open wound such as from a biopsy. I just can’t imagine why you wouldn’t want the mitomycin wash.

    Sara Anne


    Diagnosis 2-08 Small papillary TCC; CIS
    BCG; BCG maintenance
    Vice-President, American Bladder Cancer Society
    Forum Moderator

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