Poorly defined adenocarcenoma in bladder advice please.

[Tonyliv]

Hi All,

I was diagnosed with terminal prostate cancer in 2017. It has spread to my bladder. About 1cm in June 2023, it has grown to about an inch last January, so I was advised then to start chemotherapy which I’m still on and which seems to be holding it in check.

I continue to get a splash of red when I pee half the time.

My bone cancer has plummeted, so my Achilles heel is the bladder. I suspect it will run away once the chemo finishes, spread, and be the end of me.

If I lean on my oncologist and get referred to the urologist, what options do I have? Scraping? TURP? TURPT? Chemo bladder wash? Any advice from bladder experts/fellow warriors greatly appreciated.