HomeAnswersUrologypunlmpI underwent treatment for PUNLMP. How to prevent recurrence?

How to prevent the recurrence of PUNLMP?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Raja Ramesh

Medically reviewed by

iCliniq medical review team

Published At May 3, 2017
Reviewed AtJanuary 30, 2024

Patient's Query

Hi doctor,

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 25 years old. 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 would my life like and how to prevent recurrence. What should I do that it never happens again? What are my chances that I can complete an average human life age?

Answered by Dr. Raja Ramesh


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 intensive for 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 monitoring plan from zero again. Since it is not life threatening, your longevity will not be affected. The only way to prevent is to avoid exposure to tobacco smoke (active or passive), drink plenty of water and eat plenty of fresh fruits and vegetables.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Raja Ramesh
Dr. Raja Ramesh


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