Secondary Bladder Cancer?

[ncisc001]

Hi all! To make a long story short - my father is being treated for prostate cancer, diagnosed 5.5 years ago. He underwent a prostatectomy, radiation, currently on Lupron & Erleada with most recent PSA at 0.01. He has been having urinary urgency for quite a few months and had a urinalysis done which showed 11-25 RBC. He has been referred to a Urologist for a cystoscopy and urine cytology to rule out bladder cancer (oncologist is worried it could be that). I’m freaking out he could now have a secondary malignancy.. any articles, research, guidance, etc. for me until he sees the Urologist?

Thank you!

[Tall_Allen]

Men with bladder cancer seem to be more prone to other cancers.

[ncisc001 in reply to Tall_Allen]

Sorry don’t think I explained it correctly. He only has prostate cancer and they’re trying to rule out bladder cancer now as the cause of his microscopic hematuria and urgency symptom.

[Tall_Allen in reply to ncisc001]

That's what I understood. Whatever DNA defect that is responsible for the (possible) bladder cancer also probably instigated the prostate cancer.

[Lyubov]

It seems totally appropriate to be checked out by urologist. My husband developed serious urological problems caused by the radiation therapy scarring. This doesn't happen to everyone, luckily.

[Explorer08]

My younger brother is 20 years out from his prostatectomy. Gleason 9 but no apparent BCR since then. However, about a year ago he developed bladder cancer. I am also Gleason 9 after a RRP ten years ago. I do have BCR, now, but no indication of bladder cancer....yet. Both my brother and I had salvage radiation. Is my brother's bladder cancer related to his earlier battle with PCa? Don't know but it is suspiciously coincidental.

[ncisc001 in reply to Explorer08]

I appreciate the feedback. I hope he is doing well & fighting on. Hoping you don’t get diagnosed with it as well.

My dad is 3 years out from radiation so hoping it’s not BC.

[akaipop3ps]

I went through the same procedure, cystoscopy, to rule out bladder cancer in March. Its a pretty easy and fast procedure. Prior to that I also did a gene or DNA based test that was inconclusive but leaned toward negative. My cystoscopy confirmed it. I had HDBRT and IMRT as my treatments.

[Don_1213]

Same thing - about 3 weeks ago - cystoscopy. EASY. Find a urologist who uses a flexible probe and tell them no knock-out anesthesia. Mine was done by a doctor who does a lot of them (claims over 1,000/year) - was in and out of the exam room in about 20 minutes, and I got to see what he was seeing on the screen - plus he explained what he was seeing Totally painless and not really even uncomfortable. If you see them coming at you with the old-fashioned rigid probe - pull your pants on and RUN-AWAY.

Chances are - your dad will be fine. High RBC isn't uncommon in men who had radiation - scarring of the urethra due to the radiation exposure causes it.

Try not to worry until there is something to worry about (what I try with some success to do..)

[j-o-h-n]

I agree with akaipop3ps and Don_1213...... Easy 1 2 3 procedure. I was viewing what the doctor was viewing but couldn't see the diamond engagement ring I shallowed when my girl friend said no.......

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 12/15/2021 6:09 PM EST

[reb77 in reply to j-o-h-n]

Reminds of the time in the 6th grade when i was going to give my girlfriend a valentine card, but I couldn't spell scum sucking leech.

[j-o-h-n in reply to reb77]

hahahahahahahahahaha (hope you still have it.... send it to my ex-wife)....

Now that got a 10 on my Laugh Meter (Thanks)....

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 12/16/2021 2:42 PM EST

[reb77 in reply to j-o-h-n]

You, sir, have excellent taste in good humor.