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How effective is the neo-bladder for high-grade cancer? My husband is now in his third round with BCG. After second round, cancer was gone, but is back now. What to do?

Category: Urologist

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Category: Sexually Transmitted Diseases(STD)Specialist
 31 Doctors Online


Thank you for your query at

The ideal treatment for your husband is removal of urinary bladder along with urinary diversion. The diversion can be ileal conduit or neobladder.

Neobladder is safe in high grade bladder cancer as long as the urethral margin doesn't have cancer.
Take care.
Dr Goel, Urologist

In view of your query, i have also requested Oncologist to give his expert advice on your query. So Kindly see what our oncologist has to say :
'Surgery is the best modality in case of recurrence in bladder cancer. The procedure which is usually performed in such case is called radical cystectomy wherein the bladder is surgically removed and pouch replaced by another organ to hold urine, routinely with colon.'

You could meet with your surgical oncologist / urologist for discussing more about the surgery and its benefit.
Hope this helps, would be glad to discuss further.
Dr Prasad
Radiation & Medical Oncologist

( The first reply was by our urologist and the second by oncologist. If you have specific queries, kindly mention it and it will be separately reviewed by them ) .


Dr. Rajiv Goel
Category: Sexually Transmitted Diseases(STD)Specialist
MCh(urology) Medical Council of India
Fellow, Laparoscopic urology, Germany
Fellow, Urooncology and Robotic urology, Australia
Felloship - MCH, Urology/Genito-Urinary Surgery, AIIMS, 2004
Residency - MS, Master of Surgery, AIIMS, 2001
Medical School - MBBS, Bachelor of Medicine and Bachelor of Surgery, AIIMS, 1998
Dr. Rajiv Goel and 4 other Medical Specialists are ready to help you

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