Bladder cancer
Follow-up surveillance regimes for low-/intermediate-risk NMIBC

Yves (70 years old)

Yves, 70 years old, owns 3 old-timer cars. He loves nothing more than driving around town showing off his beauties. 

He was initially diagnosed with low-risk NMIBC. He received 1 immediate chemotherapy instillation after TURBT.

Follow-up cystoscopy after 6 months shows a 1 cm papillary tumour and TURBT is performed. Visual appearance suggests a low-stage and LG and he received again 1 immediate chemotherapy instillation. The pathology report confirms urothelial cancer pTa LG (muscle in specimen, no lymphovascular invasion).

He received adjuvant chemotherapy instillations for 1 year. In the meantime, no recurrences were detected during follow-up.

His follow-up visit at 12 months:

  • Cystoscopy: negative
  • Cytology: LG UCa (according to the Paris system)

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