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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Bladder Cancer. Done BCG Treatment. Cystoscopy Shows Growth. Why Was Cystoscopy Not Done Before BCG?

I have Bladder Cancer and I had the Tumor removed 2/21/13. I had BCG treatments following the removal of the Tumor. It was supposed to be an outpatient surgery however it took much longer than it was supposed to because of the bleeding and cutting involved. Today I had another Cystoscopy and he saw a growth that requires it to be removed again. Why wouldn't a 2nd Cystoscopy be performed prior to the treatments to insure that all Cancer was removed visually at least prior to wasting 6 weeks of BCG treatment only to discover growth? It makes no sense to me why one would assume everything was removed if it was that extensive. Is it an ego thing that the doctor wouldn't consider looking to check his work to insure everything was good prior to jumping into BCG therapy?
Fri, 12 Jul 2013
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General Surgeon 's  Response
Hi and welcome to Healthcare magic.Thank you for the query.
It i hard to say was it necessary to do cystosopcy. because bcg is considered to stregthen immune respones and prevent tumor recurence. This is important even when there are no signs of tumor because there can be micrometastasis or tumors which arent visible. SO BCG would be helpful in such circumstances. All in all there is more benefit of bcg than cost. ANd it isnt so important to establish that there is tumor recurence.
Wish you good health. Regards
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Have Bladder Cancer. Done BCG Treatment. Cystoscopy Shows Growth. Why Was Cystoscopy Not Done Before BCG?

Hi and welcome to Healthcare magic.Thank you for the query. It i hard to say was it necessary to do cystosopcy. because bcg is considered to stregthen immune respones and prevent tumor recurence. This is important even when there are no signs of tumor because there can be micrometastasis or tumors which arent visible. SO BCG would be helpful in such circumstances. All in all there is more benefit of bcg than cost. ANd it isnt so important to establish that there is tumor recurence. Wish you good health. Regards