In my post ‘Time Will Tell’, I wrote the following –
My radiologist appointment will take place this Thursday. urologyhealth.org has the following information –
The IVP is an x-ray test in which a contrast agent (also termed “x-ray dye”) is injected into a patient’s vein; the contrast agent acts to outline the patient’s kidneys, ureters, and bladder when x-rays are subsequently taken.
Based on the results of this test, Dr. F. will decide whether a ureteral stent may be required. If he indicates this is recommended, than another surgery would be required. Honestly I am not looking forward to another surgery. Time Will Tell.
In about 3 weeks I will start my Intravesical therapy that will last for 6 weeks. Per cancer.org –
With intravesical therapy, the doctor puts a liquid drug directly into the bladder (through a catheter) rather than giving it by mouth or injecting it into a vein. This could be either immunotherapy, which causes the body’s own immune system to attack the cancer cells, or chemotherapy.
Medicines given this way mainly affect the cells lining the inside of the bladder, with little to no effect on cells elsewhere. This means that any cancer cells outside of the bladder lining, including those that have grown deeply into the bladder wall, are not treated. Drugs put into the bladder also can’t reach cancer cells in the kidneys, ureters, and urethra, or those that have spread to other organs.
For this reason, intravesical therapy is used only for non-invasive (stage 0) or minimally invasive (stage I) bladder cancers.
In today’s post, I write the following –
The IVP test took place a week ago and yesterday I had my follow-up visit with my urologist Dr. F.
The good news is the IVP test that took place last week indicates my urinary tract including my kidneys, ureters, and bladder all seems to function normally. This is very good news – no surgery needed.
The good news is that I will not be participating in the intravesical therapy. This is because the cancer HAD grown into the connective tissue layer outside of my bladder lining. The intravesical therapy would not help to assist in treating these cancer cells. This is mixed news – no catheters – no possible side effects – yes higher risk of cancer coming back.
The good news is that the cancer had NOT grown into the muscle layer of my bladder. This is very good news – I get to keep my bladder.
The bad news is that the cancer can easily come back. Every 3 months for the next couple of years, I will be visiting the urologist and having a scope performed to search for cancer that may grow back. If caught early, then again surgery would be required to have the cancer removed. This is mixed news – more surgery – yes catheter – yes, to keeping my bladder.
The good news is that I can get back to preparing for the upcoming move and not worry about what I originally thought I might have to deal with in the coming weeks. This is very good news – no more invasive medical instruments inserted into my body for at least 3 months.
Good News outweighs Bad News; for now