What some people call 2nd opinion, I call getting to the specialist.
Once bladder cancer is diagnosed, it is wise to then get to a top bladder cancer specialist. They tend to be with the major teaching hospitals and Pat suggested one that is in your general area.
While a general practitioner has a broad understanding of many things, he/she will typically refer you to a specialist once he/she comes to the conclusion that it isn't something common and requires a specialist (such as a urologist) to treat.
Likewise, a urologist has a deeper understanding and experience than the general practitioner in urological related diseases and conditions, once bladder cancer is diagnosed, it is a good idea to have the stage/grade/and treatment options evaluated by the top bladder cancer specialist. Since these specialists focus on bladder cancer, they do more surgery, and have more expertise than most local urologists.
Some folks call that getting a 2nd opinion (when you get to the bladder cancer specialist). If he/she agrees with you local urologist on the diagnosis (stage and grade a critically important) and on the treatment, then it may make sense to have the local urologist do the treatment. This is often the case when BCG treatments are required but not the case if surgery is required.
It is recommended that even the 2nd TURB be done at a top bladder cancer hospital with a bladder cancer specialist. Again, they do more of them so they are better at it.
Bladder cancer is significantly understaged, which is another reason to have the best specialist you can.
This is nothing against your specific urologist or local urologists in general. It is based repeated research into the outcomes of patients treated at the top hospitals with the top bladder cancer experts versus those who are not.
How far are you from Chapel Hill N.Carolina? Dr. Raj Pruthi one of the top bladder cancer specialists at the University there
Sometimes you have to travel to get to the right facility and correct diagnosis. Understaging is a real problem.
It sounds to me like you have only had office visits and cystoscopy.....not a TURB in the hospital..true? Or am i misunderstanding?
9 years 4 months ago - 9 years 4 months ago#36816by bert1337
y'all keep talking second opionon. i saw the polyp, but have not seen the pathology. doc is good, but to busy. i'm in columbia sc, Dr Lamb at Lexington Urology is my doc. All of a sudden since i'm getting closer to new scope i'm getting scared. thank you all for the posts
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9 years 4 months ago - 9 years 4 months ago#36815by Alan
Pat is correct in a second TURB and second opinion are the norms. I first wondered why but, "margins' are often missed so a second is vital. The only reason I didn't get a second opinion is because my URO does BLC in about 1/2 of his practice. Plus, he has followed all of what I found out to be "standard" of care.
DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.