caret icon Back to all discussions

Prostate Cancer and Bladder cancer (Not related)

Anyone have this scenario? After being diagnosed with Low Grade Prostate Cancer contained in my prostate, imaging saw something in my bladder and it turned out to also be low grade non muscle invasive tumor.

Bladder tumor removed via TURBT and now cleared to deal with prostate cancer.

I have been wanting to do Brachytherapy for the prostate cancer but my urologists suggests that I dont do that because of the potential for strictures, which would cause issues for future cystoscopy. Of course he is a surgeon and recommends radical prostectomy, which is not what I want to do.

Anyone have a similar issue? Thoughts about strictures?

  1. Hi . I can't personally speak to this issue, but I'm a big fan of second opinions, particularly from different specialties (it is often said surgeons want to cut and radiologists want to radiate). I found this article on urethral strictures following brachytherapy which concludes "BM urethral strictures are the most common late grade 2 or more urinary toxicity following HDR brachytherapy for prostate cancer. Most are manageable with minimally invasive procedures. Both clinical and dosimetric factors appear to influence the risk of stricture formation:" https://pubmed.ncbi.nlm.nih.gov/19097660/#:~:text=Conclusions%3A%20BM%20urethral%20strictures%20are,the%20risk%20of%20stricture%20formation. Hope this information is help as you have further discussions and make your decision. Wishing you the best and please feel free to keep us posted on how things are going. Richard (ProstateCancer.net Team)

    1. Thanks for your response and information. Yes I have seen 2 different urologist, one of which is a surgeon at MDA here in Houston, 3 radiologist: 2 at MDA and 1 outside. Two of the radiologist have stated to me that if it were them, they would do the Brachytherapy.

      or create an account to reply.