How to prevent the recurrence of PUNLMP?

Question

Hi doctor,

I am 25 years old, and I had PUNLMP a year ago. I consulted a physician, and he did a TURBT. Now, I just have my follow-up cystoscopy every three months. I am afraid of what to do and what to avoid. I have never smoked. But yes, I have been with smokers. I just wanted to know what my life would be like and how to prevent recurrence.

What should I do so that it never happens again?
What are my chances that I can complete an average human life age?

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

PUNLMP (papillary urothelial neoplasm of low malignant potential) belongs to a very benign, non-life-threatening spectrum of urological cancers. TURBT (transurethral resection of bladder tumor) is the correct treatment. Follow-up is required with cystoscopy and urine cytology.

Follow-up is intensive for the first two years, and after that, less intensive follow-up is needed for at least five years. If any recurrence occurs, we have to restart the monitoring plan from zero again. Since it is not life-threatening, your longevity will not be affected. The only way to prevent it is to avoid exposure to tobacco smoke (active or passive), drink plenty of water, and eat plenty of fresh fruits and vegetables.

I hope this helps.