Welcome to our Forum!!! Please remember that we are not doctors, but are patients and family who have unfortunately had a bit of experience with bladder cancer.
The urologist will do a cystoscopy, which is sort of like a pelvic exam...he will insert a very small camera into the bladder so that he can see whatever might be in there. This takes about 15 minutes. If he sees evidence of a growth of any kind, it is likely that he will order a TURB (transurethral resection of the bladder , or biopsy) which is very similar to the cystoscopy except that it is done under general anesthesia so that he can cut out any tumors/growths/abnormalities that he can see. These are then sent to a pathologist who makes the final diagnosis. It is also possible that the urologist may order another CT scan rather than depend on the previous one.
AFTER the cystoscopy you will have a better idea of what you might need/want to ask the urologist. Until he has done that, he probably won't have much of an idea of what is going on. IF he has found anything inside the bladder, things sort of progress from that point as I mentioned above. If he doesn't see anything in the bladder, you would of course want his opinion on whatever the gyn found and where to go next.
Please keep us posted on what happens!!
Wishing you and your MIL all the best...she is fortunate to have you!!!
Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
I'm here to get some information regarding my dear mother-in-law (MIL) that I love like crazy.
Two weeks ago she went into acute renal failure and spent 10 days in the hospital, where they treated the renal failure (dialysis) but have not treated or discovered the cause of the hydronephrosis and hydroureter. She had been experiencing urinary incontinence and pain for a few weeks, her MD was treating her with antibiotics prior to sending her for an abdominal and vaginal ultrasound. The ultrasound found a completely contracted bladder.
In the hospital an abdominal + pelvic CT scan was performed which states "no visible focal wall thickening, lesion or calculus" on the bladder.
She was sent to a gynecologist within 48 hours of release from the hospital. The during the gyn exam he felt a hard mass about the "size of a golfball" either in or resting on the bladder and is now sending her to a urologist for a cystoscopy. The gyn has a very good reputation in my MILs community and seemed alarmed. My MIL is still not producing urine, is in extreme discomfort/pain in her pelvic region and experience nerve pain in both legs.
So my questions are the following:
How is the mass not seen on either a CT scan or ultrasound (the gyn thought it was odd as well).
Should we request a re-read of the CT scan (or is that fruitless at this time)?
What questions should we ask the urologist before and after the cytoscope?
Thank you all in advance for all your wise advice and guidance!