Can bladder cancer come back even after treatment?

Question

Hi doctor,

I am a 60-year-old man who was recently diagnosed with bladder cancer after finding blood in my urine. I have undergone my first surgery, a TURBT, and am currently waiting for the pathology results.

I feel anxious about whether the cancer is muscle-invasive, especially since I otherwise feel fine, which complicates my emotional processing. My doctor mentioned BCG treatment; is that similar to chemotherapy?

I have been reading about recurrence rates, and it really concerns me. How often does bladder cancer come back? I quit smoking years ago, but I can’t help but wonder if that contributed to my diagnosis. I just want to know what to expect and how aggressive I should be with my treatment.

Please guide.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

It is completely understandable to feel anxious while waiting for your pathology results. This is a critical step that will determine the next phase of your treatment plan.

BCG (bacillus calmette-guerin) is a type of immunotherapy, not traditional chemotherapy. It is delivered directly into the bladder to stimulate your immune system to fight cancer cells. This is a standard and highly effective treatment for certain types of bladder cancer.

Bladder cancer has a tendency to recur, which is why ongoing monitoring is essential. However, for many non-muscle-invasive cancers (which are what your doctors are currently checking for), the risk of recurrence can be significantly reduced with treatments like BCG.

Your doctor will develop a long-term surveillance plan with you, typically involving regular cystoscopies (scope examinations of the bladder).

A history of smoking is the most significant risk factor for bladder cancer, but quitting is the best step you could have taken for your health. Try not to dwell on the past; focus on the proactive measures you are taking now.

The most important thing right now is to wait for the full pathology report. This report will inform your medical team whether the cancer is confined to the inner lining (non-muscle-invasive) or has grown deeper (muscle-invasive).

This distinction is crucial for deciding on the most appropriate and effective treatment strategy. You are doing the right thing by being informed and engaged in your care.

I hope this answers your query.

Feel free to reach out anytime.

Thank you.