It sounds as if your urologist is doing all the right things…except communicating with you! Usually further biopsies are not done after BCG unless it appears at a cyscoscopy exam that the cancer is back. If everything looks normal, you are “good to go” until the next exam. And your urologist is absolutely right in recommending maintenance BCG.
It has been shown that maintenance BCG significantly improves the outcome.
You need to find a way to communicate with this urologist…or find a new one. You are going to have a life-long relationship with him and there will be many questions that come up. You should be having cystoscopy every three months for two years, every six months until 5 years have passed, and then annually forever. Bladder cancer has a nasty little habit of returning, which is why these exams are so important and why you need to understand what the doctor is recommending.
Perhaps he was having a bad day? Maybe at the next appointment you arrange AHEAD OF TIME for a little extra time for a conversation. You can explain that this is your life, and that cancer is a scary proposition, especially if you do not understand the treatment recommendations. If you do not feel comfortable with the doctor then, it is time to change, even IF he seems very competent. This IS a partnership.
I would give him one more chance. My husband once had a HORRIBLE session with a doctor. We found out a few days later that he and his wife had lost a baby at birth the night before. Doctors are people too!
Sara Anne
Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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