GLAD I WAS ABLE TO COMPLETE SOMEONE ELSES UNFINISHED JOB IN BLADDER CANCER PATIENT- Patient discharged home after an overnight stay post-surgical.

A male with bladder cancer consulted me following his bladder cancer surgery carried out by someone else. He came to me for a second opinion after completing his chemotherapy. He read about me and immediately planned a trip to Surat to me.

On PET scan it showed that the active bladder cancer was still present. I discussed the options with the patient and he chose an option of redoing the TURBT to complete the unfinished job. No doubt the tumour was extremely difficult to be removed due it being near the obturator nerve, but it was certainly not impossible to be removed.

I am glad to be able to remove it completely despite obvious challenges of obturator kicks. After discussion of all prose and cons of removing whole bladder Vs trimodal treatment he opted for trimodal treatment.

Amongst many other bladder cancer patients I have treated since coming to India, recently I have successfully cured two more patients with muscle invasive bladder cancers with trimodal treatment. I am glad both of the these patients are now cancer free (both on cystoscopy as well as on PET scan). Would write more about these patients in different post.

Trimodal treatment is more physiological and organ preserving and it should be used widely where possible. It seems that there is a lack of awareness of the trimodal treatment in Gujarat at least. I am willing to guide anyone who wishes to use trimodal treatment for bladder cancer.