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in office fulgeration

5 years 4 weeks ago #49183 by Flamenco.
I would be a bit concerned if I was having recurrences every three months and the urologist was just removing the tumours with no pathology report being done. At very least I would ask for my medical records and seek a 2nd opinión. I picture the growths like weeds in the garden- you can whip the weeds out at the surface but have you got the roots?

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5 years 1 month ago #49166 by OldEngineer
Loljole - for what it is worth, I was just diagnosed ten days ago and had my TURBT last Friday (21st), what Sara Anne said about the normal course of treatment is 100% aligned with what my urologist told me. I am waiting for the pathology report to see what I need next but I too would want to know the nature of any growth before deciding on further action.

T1 high grade transcell diagnosed 8/14/2015
TURBT 8/21/2015, removed tumor (17mmX14mmX11mm)
Repeat TURBT performed 9/25/2015
Pathology Report: no residual cancer detected
BCG planned starting in October

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5 years 1 month ago #49162 by sara.anne
Hello, and welcome to the Forum!!

I assume by fulguration, you mean that he uses an electrical current to burn off the tumors. I have never had this done, so do not know what the discomfort level might be. I am puzzled as to how the urologist will know what the pathology of the tumors is if there is no tissue to send to the pathologist? Low grade can progress into worse without notice and this cannot be determined just by "looking" even by an experienced uroogist.

Also do not understand why you would need surgery every three months? The usual protocol for follow-up is a cystoscopy every three months (in the office with a small camera where the urologist examines inside the bladder....no surgery, no anesthesia). Only if a problem is found is a TURB (biopsy) scheduled and the tumor removed and sent to a pathologist for analysis.

Guess I would want any tumor to be carefully examined by a pathologist so that I would know exactly what I was facing.

Sara Anne

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

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5 years 1 month ago #49157 by lojole
I have non invasive, superficial bladder cancer diagnosed three years ago. i am 53 years old and new to this forum. First time posting. I have a doctor who does fulgeration in the office which saves me from surgery every three months (since I have many recurrences). Does anyone else do fulgeration in office? How do you handle the pain of it? Just wondering if anyone has any tips(?)

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