Henri (63 years old)

Henri is a 63-year-old consultant who enjoys glamping. The glamp sites he picks for his trips are usually located in the middle of nowhere, as he is not a people person…

He presented with macroscopic haematuria, which led to the discovery of a high-risk NMIBC. After the first cycle of 6 instillations of BCG, he relapsed.

Assessment summary:

• Former smoker (50 years)
• Medical history: gastroesophageal reflux
• Family history: sister with thyroid cancer
• Creatinine level: 91 µmol/l, eGFR: 78 ml/min
• Pathological report TURBT:
  • HG papillary UCa
  • Muscle in specimen, free of tumour
  • pT1b without CIS
  • No FGFR alteration
• CT scan of thorax/abdomen/pelvis: no distant lesions or synchronous UTUC
• Robot-assisted laparoscopic cystectomy + pelvic lymph node dissection (PLND):
  • Urinary diversion by orthotopic neobladder
  • Pathology report: pT0 N0 (0/37) R0

Surveillance with routine imaging with CT of the thorax and abdomen is planned for this patient. Vitamin B12 levels will be measured annually.