Bladder cancer
Low- and intermediate-risk NMIBC: surveillance or intravesical therapy?

Nick (67 years old)

Nick, 67 years old and otherwise healthy, is a retired pharmacist. As he is no person who sits at home every day, he decided to be a dog sitter after his retirement. He walks every day at least 2 hours with more than 5 dogs.

He underwent a transurethral resection of bladder tumour (TURBT) of a papillary tumour at the right bladder wall, which was detected during a cystoscopic examination for painless haematuria.

Early post-TURBT situation

  • Resection visually complete
  • Papillary tumour of 2 cm with a visual appearance suggesting a low-stage, low-grade (LG) superficial tumour

Which of the following treatment options would you choose for this patient?