Cedric (71 years old)

Cedric is a 71-year-old retired hairdresser who enjoys giving his relatives fresh haircuts. His granddaughter regularly wants a new hairstyle varying from blond wavy hair to blue dreadlocks.

He presented with macroscopic haematuria, which led to the diagnosis of low-risk NMIBC.

Assessment summary:

• No relevant medical and family history
• Creatinine level: 61 µmol/l
• Pelvic MRI: bladder polyp
• CT urogram: no concomitant upper tract tumour, horseshoe kidney
• Cystoscopy with biopsy: 1 cm papillary tumour with low potential for malignancy
• TURBT followed by 1 immediate chemotherapy instillation
• Pathology report:
  • Visually complete resection
  • pTa LG

Cystoscopy was negative at 3 and at 12 months after TURBT. The patient finds cystoscopies burdensome, and the examinations cause him significant anxiety. He refuses further follow-up cystoscopies.