Will surgery for urothelial cancer improve my life?

Question

Hello doctor,

I am 70 years old and I have had painful urination and a major loss of appetite, the doctors say my urothelial carcinoma has spread. I have been told surgery might be an option, but I do not know how to handle what comes after. How will my life change after the surgery? What is the likelihood I can live comfortably for a few more years? I want to know how to make the most of the time I have left and whether the treatment will improve my quality of life.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Surgery for metastatic urothelial carcinoma can be complex, especially if it involves removing parts of the urinary system, and recovery varies from person to person. Surgery aims to reduce tumor burden or address symptoms like pain and urinary obstruction, which can improve quality of life. However, given your age and the spread of the disease, it is essential to discuss with your surgeon, learning to manage a urinary diversion if the bladder is affected, physical therapy to regain strength and manage energy levels.

Life after surgery can bring some changes, but some steps can help you adjust. Dietary counseling can help find foods that are easier to tolerate and provide energy without straining your system.

1. Spending time with loved ones.

2. Engaging in activities you enjoy.

3. Talking to a counselor.

4. Joining a support group

5. Can make a meaningful difference in navigating this journey.

A physical examination by a doctor in a hospital is a must.

I hope this helps.

Thank you.