Ronan (79 years old)

Ronan, 79-year-old with a passion for Gaelic football, was initially diagnosed with intermediate-risk NMIBC, which was treated with TURBT followed by intravesical chemotherapy for 1 year.

Follow-up cystoscopy 1 year after the final course of intravesical chemotherapy showed 2 papillary tumours (largest diameter: 2 cm) at the anterior bladder wall.

Assessment summary:

• Medical history:
  • Former smoker (30 pack years)
  • Hypertension, moderate chronic obstructive pulmonary disease
• No haematuria, voiding difficulties or urinary tract infection
• ECOG PS: 1
• American Society of Anaesthesiology (ASA) score: 2
• Urine cytology: HG UCa (according to the Paris system)
• CT urography: cN0, no concomitant upper tract tumour