This visit was just to collect the Radiologist's report on the CT scans last Thursday, which luckily confirms that there is no evidence that the cancer has spread from the bladder into any other organs.
The next step is for a second resectoscopy, required by the Pathologist with samples from specific areas (rather than random biopsy material as last time) so that he can stage the cancer more accurately. Once properly staged, the Oncologist will decide if a radical cystectomy or only partial bladder removal is necessary.
My Urologist wants to take the opportunity of this second resectoscopy to remove as much of the remaining tumour as possible, which will be difficult, since it is mostly located on the front bladder wall and hence fairly inaccessible from a resectoscope that can't turn through 180 degrees.
THOUGHTS
The Urologist terminated the first resectoscopy after he almost perforated the bladder wall whilst cutting away as much of the tumour as possible. I would prefer if he only took the few specifically targetted biopsy samples for the Pathologist, and left the remaining tumour to be dealt with by the radical or partial cystectomy later.
The next step is for a second resectoscopy, required by the Pathologist with samples from specific areas (rather than random biopsy material as last time) so that he can stage the cancer more accurately. Once properly staged, the Oncologist will decide if a radical cystectomy or only partial bladder removal is necessary.
My Urologist wants to take the opportunity of this second resectoscopy to remove as much of the remaining tumour as possible, which will be difficult, since it is mostly located on the front bladder wall and hence fairly inaccessible from a resectoscope that can't turn through 180 degrees.
THOUGHTS
The Urologist terminated the first resectoscopy after he almost perforated the bladder wall whilst cutting away as much of the tumour as possible. I would prefer if he only took the few specifically targetted biopsy samples for the Pathologist, and left the remaining tumour to be dealt with by the radical or partial cystectomy later.
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