Bladder cancer
Challenges in high-risk NMIBC

Dale (75 years old)

Dale is a 75-year-old otherwise healthy retired nurse. Now he is a volunteer in the local retirement home, where he organises walking trips for the residents.

He recently 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.

Assessment summary

  • Resection visually complete
  • pTa high-grade (HG)
  • Tumour diameter: 4.5 cm
  • No lymphovascular invasion (LVI)
  • Muscle in specimen

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